THEN ETHAN VAN TONG

DES MOINES, IA
NPI1447578992
Former NameTHEN VAN TONG
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IA  4475)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-05-08
Last Update Date2014-01-20
Business Address
Dr. THEN ETHAN VAN TONG DO
1201 PENN AVE
DES MOINES, IA 50316-2339
Phone number: 515-266-1000
Mailing Address
Dr. THEN ETHAN VAN TONG DO
1201 PENN AVE
DES MOINES, IA 50316-2339
Phone number: 515-266-1000