Individual
DR. STEPHEN T ANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1054 M L KING DR, SUITE 120, CENTRALIA, IL 62801-3000
(618) 532-1688
(618) 532-1689
Mailing address
1054 M L KING DR, SUITE 120, CENTRALIA, IL 62801-3000
(618) 532-1688
(618) 532-1689
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06107347
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/10/2006
Last updated
07/08/2007
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