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Individual

MAI TRAN HUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3009 N BALLAS RD STE 390C, SAINT LOUIS, MO 63131-2322
(314) 996-3575
Mailing address
3009 N BALLAS RD STE 390C, SAINT LOUIS, MO 63131-2322
(314) 996-3575

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
110801
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203939715
MO
01
P00778432
RAILROAD MEDICARE
MO
Enumeration date
02/02/2006
Last updated
03/04/2021
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