Organization
ST. PAUL FAMILY MEDICAL CENTER PA
Active
Organization
ST. PAUL FAMILY MEDICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHUA XIONG MD (PRESIDENT)
(651) 209-8350
Entity
Organization
Contact information
Practice address
1239 PAYNE AVE, SAINT PAUL, MN 55130
(651) 209-8350
Mailing address
1239 PAYNE AVE, SAINT PAUL, MN 55130
(651) 209-8350
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1571
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-09122
MEDICA
MN
01
—
156J3ST
BLUE CROSS BLUE SHIELD
MN
01
—
170453
UCARE MINNESOTA
MN
05
—
489369700
—
MN
01
—
83934
HEALTHPARTNERS
MN
01
—
G174
PATIENT CHOICE
MN
Enumeration date
12/13/2006
Last updated
07/01/2026
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