MEDICARE: DR. ANTHONY KRAMER

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
1	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	015410	MO

General Provider Information

NPI Number	:	1801878541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY KRAMER

Provider Business Mailing Address
First Line	:	10000 WATSON RD
Second Line	:	SUITE A
City	:	SAINT LOUIS
State	:	MO
Zip	:	63126-1854
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10000 WATSON RD
Second Line	:	SUITE A
City	:	SAINT LOUIS
State	:	MO
Zip	:	63126-1854
Country	:	US
Telephone Number	:	314-822-3322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	12/06/2012

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Directions to “ DR. ANTHONY KRAMER ” Practice Location

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