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NPI Code Detail

MEDICARE: ANNE CHUMBOW MD

MEDICARE: ANNE CHUMBOW MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1588507545
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE CHUMBOW MD
Provider Business Mailing Address
First Line : 1402 S GRAND BLVD RM M260
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-1004
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 S GRAND BLVD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63104-1016
Country : US
Telephone Number : 314-617-2359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ ANNE CHUMBOW MD” Practice Location

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