Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 2005024050 | MO |
NPI | 1184829277 |
---|---|
Provider Name | Dr. Dang Hai Do |
First Address | Saint Louis, MO 63119-5116 |
Second Address | Saint Louis, MO 63118-3930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 01/10/2009 |