Dr. Qian Wang, D.O.
Internal Medicine in Saint Louis, MO. Individual provider (NPI-1).
NPI number1477904662
StatusActive
Last updated in NPPESJun 29, 2016
Details
- NPI
- 1477904662
- Entity type
- Individual (NPI-1)
- Name
- Dr. Qian Wang
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2016
- Last updated
- Jun 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 2016018020 | MO | Yes |
Practice location
2345 Dougherty Ferry RdSaint Louis, MO 63122-3313
Phone 314-566-7142
Mailing address
162 Forest PkwyApt D
Valley Park, MO 63088-1073
Phone 314-566-7142
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