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1417040114
TONY THIEN TANG
ST. LOUIS, MO
NPI
1417040114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: MO 2003024222)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
-- TONY THIEN TANG M. D.
4675 SOUTH GRAND BLVD.
ST. LOUIS, MO 63111
Phone number: 314-752-8600
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Mailing Address
-- TONY THIEN TANG M. D.
4675 SOUTH GRAND BLVD.
ST. LOUIS, MO 63111
Phone number: 314-752-8600
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