Individual
HANNAH-NGOC T HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12401 OLIVE BLVD STE 202, CREVE COEUR, MO 63141-5448
(314) 834-2888
(314) 834-5212
Mailing address
12401 OLIVE BLVD STE 202, CREVE COEUR, MO 63141-5448
(314) 834-2888
(314) 834-5212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2001028190
MO
208C00000X
Colon & Rectal Surgery Physician
Primary
2001028190
MO
Other
Enumeration date
05/23/2005
Last updated
05/18/2022
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