Individual
DR. YUYANG TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2730 E SUNSHINE ST, SPRINGFIELD, MO 65804-2047
(417) 883-0600
(417) 883-9443
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014022162
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
05/17/2011
Last updated
10/07/2014
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