Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHRISTOPHER JAMES ANDERSON, DPM
ActiveFoot Surgery Podiatrist · O'FALLON, IL
Registration Details
- NPI Number
- 1790760494
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2005 (20.351936861625 yrs)
- Last Updated
- Oct 7, 2020
- Licenses
-
2010030718 (MO)016.005443 (IL)
Practice Information
- Address
-
717 INSIGHT AVESUITE 100O'FALLON, IL, 62269Browse IL providers · Browse ZIP 62269
- Phone
- 6182779533
- Fax
- 6182779540
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
- Additional Specialty
- Foot Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.