Organization
ADVANCED ANORECTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH-NGOC T HA (OWNER/ MD)
(314) 249-0789
Entity
Organization
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, SAINT LOUIS, MO 63141-5448
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
05/23/2022
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