Individual
DR. ALBERT L VAN AMBURG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
232 S WOODS MILL RD, SUITE 330 EAST, CHESTERFIELD, MO 63017-3417
(314) 205-6737
(314) 576-2378
Mailing address
232 S WOODS MILL RD, SUITE 330 EAST, CHESTERFIELD, MO 63017-3417
(314) 205-6737
(314) 576-2378
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
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