Individual
TONY THIEN TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
4675 SOUTH GRAND BLVD., ST. LOUIS, MO 63111
(314) 752-8600
(314) 752-8601
Mailing address
4675 SOUTH GRAND BLVD., ST. LOUIS, MO 63111
(314) 752-8600
(314) 752-8601
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
2003024222
MO
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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