Organization
STEPHEN T ANG MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ANG MD (PHYSICIAN)
(618) 532-1688
Entity
Organization
Contact information
Practice address
1054 MARTIN LUTHER KING DR, STE 120, CENTRALIA, IL 62801-3000
(618) 532-1688
(618) 436-8081
Mailing address
1054 MARTIN LUTHER KING DR, STE 120, CENTRALIA, IL 62801-3000
(618) 532-1688
(618) 436-8081
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088477
—
IL
Enumeration date
09/22/2011
Last updated
10/27/2011
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