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Individual

DR. CHAU L CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8401 OLIVE BLVD, ST LOUIS, MO 63132
(314) 997-3430
(618) 345-1113
Mailing address
8401 OLIVE BLVD, ST LOUIS, MO 63132
(314) 997-3430
(618) 345-1113

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35577
MO
207R00000X
Internal Medicine Physician
53838
IL
207R00000X
Internal Medicine Physician
C51929
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006000394
BCBS
IL
01
0409008
UHC
01
112115
BCBS
MO
Enumeration date
10/11/2006
Last updated
07/08/2007
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