NPI 1174626840

Phung T Dang, MD

Practitioner Interventional Pain Medicine Physician Saint Louis, MO

Practice location

Address: 12414 Stratford Ridge CT, Saint Louis, MO 63141-6383
Phone: (314) 277-2163

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence R5G74 (MO)

Other Pain Medicine providers in Missouri →

Rehabilitation Practitioner

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence R5G74 (MO)

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Registry record

NPI: 1174626840
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2006
Record last updated: 19 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.