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Individual

DR. THOMAS H TUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4921 PARKVIEW PL STE 6G, STE 6G, SAINT LOUIS, MO 63110-1032
(314) 362-7388
(314) 747-4871
Mailing address
660 S EUCLID AVE, C B 8238, SAINT LOUIS, MO 63110-1010
(314) 362-7388
(314) 747-4871

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
116472
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204757009
MO
05
ENROLLED
IL
Enumeration date
07/17/2006
Last updated
01/29/2018
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