Chong Pao Thao

NPI 1164690442 - Technician - 3747P1801X

NPI Details
NPI 1164690442
Gender Male
Enumeration Date 02/20/2008
Last Updated 02/20/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
23 EMPIRE DRIVE
SUITE 123
ST PAUL MN, 55103, US
Phone (651) 222-2787
Fax (651) 224-1057
Business Location
1770 5TH STREET
ST PAUL MN, 55106, US
Phone (651) 293-1033
Fax (651) 224-1057
Toxanomy
Taxonomy Code 3747P1801X
License State
License Number
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According to our database, Chong Pao Thao NPI is 1164690442, taxonomy code is 3747P1801X Chong Pao Thao physically located at 23 Empire Drive, St Paul MN, 55103. NPI Number Chong Pao Thao has the Individual type.

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1164690442 NPI number is provided on an as is basis without warranty of any kind. 1164690442 is maintained by the National Plan & Provider Enumeration System. The contents of Chong Pao Thao are for informational purposes only.