Individual
DR. FANG ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
660 S EUCLID AVE, CAMPUS BOX 8121, SAINT LOUIS, MO 63110-1010
(314) 362-8065
Mailing address
660 S EUCLID AVE, CAMPUS BOX 8121, SAINT LOUIS, MO 63110-1010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016020770
MO
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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