Provider Demographics
NPI:1407814882
Name:FRIEDRICH, ANTHONY P JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:P
Last Name:FRIEDRICH
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 514
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63006-0514
Mailing Address - Country:US
Mailing Address - Phone:314-913-2734
Mailing Address - Fax:904-683-8775
Practice Address - Street 1:224 S WOODS MILL RD
Practice Address - Street 2:#665
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3451
Practice Address - Country:US
Practice Address - Phone:314-434-6960
Practice Address - Fax:314-434-7787
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO34182207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO20095563Medicaid
MO20095563Medicaid
C45000Medicare UPIN