# ADVANCED ANORECTAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205578754
- **Authorized official:** HANNAH-NGOC T HA (OWNER/ MD)
- **Authorized official phone:** (314) 249-0789

## Contact information

- **Practice address:** 12401 OLIVE BLVD STE 202, CREVE COEUR, MO 63141-5448
- **Practice address phone:** (314) 834-2888
- **Practice address fax:** (314) 834-5212
- **Mailing address:** 12401 OLIVE BLVD STE 202, SAINT LOUIS, MO 63141-5448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2022
- **Last updated:** 05/23/2022