Individual
EA-SLE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
(314) 251-4456
Mailing address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
(314) 251-4456
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2026018533
MO
2086S0102X
Surgical Critical Care Physician
2026018533
MO
2086S0102X
Surgical Critical Care Physician
MD-48980
IA
2086S0127X
Trauma Surgery Physician
2026018533
MO
390200000X
Student in an Organized Health Care Education/Training Program
2015020394
MO
390200000X
Student in an Organized Health Care Education/Training Program
2021030326
MO
Other
Enumeration date
07/07/2015
Last updated
05/01/2026
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