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Individual

DR. PHU DINH VU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6410
Mailing address
PO BOX 66971, DEPT LE, SAINT LOUIS, MO 63166-6971
(800) 968-6866

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036110018
IL
207P00000X
Emergency Medicine Physician
Primary
2007035011
MO
207Q00000X
Family Medicine Physician
2007035011
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036110018
IL
01
08232204
BLUE CROSS BLUE SHIELD
IL
01
08232205
BLUE CROSS BLUE SHIELD
IL
01
P00350431
RAIL ROAD MEDICARE
IL
Enumeration date
11/22/2005
Last updated
04/21/2026
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