Individual
THOMAS S. CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 289-6324
(314) 289-6322
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01067637A
IN
2085R0001X
Radiation Oncology Physician
036-104163
IL
2085R0001X
Radiation Oncology Physician
Primary
2013012262
MO
2085R0001X
Radiation Oncology Physician
A78262
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200969650
—
IN
05
—
3008471
—
OH
Enumeration date
01/30/2006
Last updated
03/11/2024
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