Individual
TONY DUY LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
1251 HYANNIS DR, SAINT LOUIS, MO 63146-4639
(314) 629-7589
Mailing address
1251 HYANNIS DR, SAINT LOUIS, MO 63146-4639
(314) 629-7589
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019039971
MO
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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