Individual
ANDREW TANOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8702
(314) 251-6712
Mailing address
16350 LYDIA HILL DR, CHESTERFIELD, MO 63017-7835
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2023032402
MO
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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