Individual
DAVID B HUANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
985 EXECUTIVE DRIVE, OSAGE BEACH, MO 65065
(573) 348-4863
(573) 348-4863
Mailing address
985 EXECUTIVE DR, OSAGE BEACH, MO 65065-3496
(573) 348-4863
(573) 348-4863
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
109950
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128576
BC/BS
—
05
—
204838908
—
MO
Enumeration date
06/27/2005
Last updated
07/08/2007
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