Individual
LUIS TUMIALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9326 OLIVE BLVD, OLIVETTE, MO 63132-3257
(314) 743-3748
(314) 743-3749
Mailing address
9326 OLIVE BLVD, OLIVETTE, MO 63132-3257
(314) 743-3748
(314) 743-3749
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R4674
MO
Other
Enumeration date
10/02/2008
Last updated
04/24/2015
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