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Individual

GIAO VUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6400 CLAYTON RD STE 216, SAINT LOUIS, MO 63117-1850
(314) 646-7848
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-2557

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2013040817
MO
390200000X
Student in an Organized Health Care Education/Training Program
2009016570
MO

Other

Enumeration date
06/23/2009
Last updated
10/27/2020
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