Individual
DENG PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 362-5000
Mailing address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 642-2771
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2022023151
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/28/2021
Last updated
07/25/2023
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