Provider Demographics
NPI:1417931056
Name:HOOKS-ANDERSON, DENISE R (MD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:R
Last Name:HOOKS-ANDERSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1008 S SPRING
Mailing Address - Street 2:SLUCARE ACADEMIC PAVILLION
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-977-8485
Mailing Address - Fax:314-977-5268
Practice Address - Street 1:1034 S BRENTWOOD BLVD STE 1120
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1211
Practice Address - Country:US
Practice Address - Phone:314-977-4600
Practice Address - Fax:314-726-1653
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2000148618207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO132258OtherBCBS
204751167OtherCIGNA
204751167OtherAETNA
204751167OtherMERCY PLUS (CC)
MO204976922Medicaid
438082OtherHEALTHLINK
H15769OtherMERCY HEALTH PLANS
1779675OtherUHC
204751167OtherHEALTHCARE USA
278380OtherGHP/COVENTRY