Individual
DR. SIRIVAN SUON SENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10012 KENNERLY RD STE 406, SAINT LOUIS, MO 63128-2197
(314) 525-1224
Mailing address
10012 KENNERLY RD STE 406, SAINT LOUIS, MO 63128-2197
(314) 525-1224
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2025017589
MO
2086P0122X
Physician Nutrition Specialist (Surgery)
2025017589
MO
Other
Enumeration date
06/18/2017
Last updated
11/13/2025
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