Individual
CHEN SU CHIUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3691 RUTGER ST, SAINT LOUIS, MO 63110-2515
(314) 977-6828
(314) 977-6777
Mailing address
3691 RUTGER ST, PROVIDER ENROLLMENT, SAINT LOUIS, MO 63110-2515
(314) 977-6828
(314) 977-6777
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
33980
MO
Other
Enumeration date
06/15/2006
Last updated
07/12/2007
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