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Individual

TIN MAUNG OO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 ST. MARYS MEDICAL PLAZA, JEFFERSON CITY, MO 65101
(573) 761-7000
(573) 761-2068
Mailing address
100 ST. MARYS MEDICAL PLAZA, JEFFERSON CITY, MO 65101
(573) 761-7000
(573) 761-2068

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
028356
TN
207R00000X
Internal Medicine Physician
Primary
2005036210
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000728945A
GA
Enumeration date
10/07/2005
Last updated
07/08/2007
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