MEDICARE: MARCIA L SOKOL-ANDERSON 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
1	207RI0200X	Infectious Disease Physician	R1D44	MO

General Provider Information

NPI Number	:	1811905797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCIA L SOKOL-ANDERSON MD

Provider Business Mailing Address
First Line	:	3691 RUTGER ST
Second Line	:	SUITE 100
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-2515
Country	:	US
Telephone Number	:	314-977-9050
Fax Number	:	314-977-9770

Provider Business Practice Location Address
First Line	:	3691 RUTGER ST
Second Line	:	SUITE 100
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-2515
Country	:	US
Telephone Number	:	314-977-9050
Fax Number	:	314-977-9770

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	02/23/2009

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