| Doctor Name: | DR. JOHN FRANK ANZALONE |
| NPI Number: | 1861481558 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | R7830 |
| Business Practice Address: | 1055 E Terra Ln O Fallon, MO - 633662750 |
| Business Phone Number: | 6362726161 |
| Business Fax Number: | 6362409188 |
| Mailing Address: | 1055 E Terra Ln, O FALLON |
| State: | MO |
| Postal Code: | 633662750 |
| Phone Number: | 6362726161 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2005 |
| NPI Last Update Date: | 12/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | R7830 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |