Individual
ANTHONY T TAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3610 BUTTONWOOD DR, SUITE 200, COLUMBIA, MO 65201-3721
(417) 689-4080
Mailing address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5248
(417) 681-5748
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2003007573
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177676
BLUE CROSS/BLUE SHIELD
—
05
—
208975409
—
MO
Enumeration date
06/15/2006
Last updated
08/31/2015
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