Individual
DR. ALBERT L VAN AMBURG III
Active
Individual
DR. ALBERT L VAN AMBURG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
R5296
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280272087
ILLINOIS PUBLIC AID
MO
01
—
14488
BC/BS OF MISSOURI
MO
01
—
182403
HEALTHLINK
MO
05
—
201245461
—
MO
01
—
241963
GROUP HEALTH PLAN
MO
01
—
4061290
AETNA
MO
01
—
44637
CIGNA
MO
Enumeration date
05/01/2006
Last updated
09/25/2012
Update your record
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