Individual
SAM YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 WORNALL RD, ANESTHESIOLOGY, KANSAS CITY, MO 64111-3220
(816) 932-7940
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7940
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2013018940
MO
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
2013018940
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013018940
LICENSE
MO
Enumeration date
06/25/2009
Last updated
12/18/2014
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