Individual
SINFORIANO TANGONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 1ST ST, KENNETT, MO 63857-2525
(573) 888-4522
(573) 888-4255
Mailing address
117 WESTGATE AVE, KENNETT, MO 63857-1535
(573) 888-4239
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R4B43
MO
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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