Individual
DR. PETER KONG-WOO YOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, STE 297A, SAINT LOUIS, MO 63141-8232
(314) 251-6364
(314) 251-7897
Mailing address
621 S NEW BALLAS RD, SUITE 297A, SAINT LOUIS, MO 63141-8232
(314) 251-6364
(314) 251-7897
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R3E52
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-01313
UNITED HEALTHCARE
MO
01
—
102280
HEALTHLINK PPO
MO
01
—
119685
BLUE CROSS BLUE SHIELD
MO
01
—
261839808
CHAMPUS
MO
01
—
337533
GROUP HEALTH PLAN
MO
01
—
P00663995
MEDICARE RAILROAD
MO
Enumeration date
07/26/2005
Last updated
06/28/2011
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