Individual
EDINA CINDY WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10050 KENNERLY RD, SAINT LOUIS, MO 63128-2192
(314) 525-1688
(314) 525-1689
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8200
(314) 991-8285
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036169373
IL
2085R0001X
Radiation Oncology Physician
Primary
2024022803
MO
Other
Enumeration date
06/09/2017
Last updated
07/30/2024
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