Provider Demographics
NPI:1699190983
Name:CONSUEGRA ANDERSON, HADASSAH MICHELLE (DO)
Entity type:Individual
Prefix:DR
First Name:HADASSAH
Middle Name:MICHELLE
Last Name:CONSUEGRA ANDERSON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1601 E BROADWAY STE 240
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-8022
Mailing Address - Country:US
Mailing Address - Phone:573-815-8145
Mailing Address - Fax:573-815-3832
Practice Address - Street 1:1601 E BROADWAY STE 240
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-8022
Practice Address - Country:US
Practice Address - Phone:573-815-8145
Practice Address - Fax:573-815-3832
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2024-09-13
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Provider Licenses
StateLicense IDTaxonomies
MO2024027963208600000X
PAOS019778208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery