Xoua Thao M.D.

NPI 1558487041 - Family Medicine - 207Q00000X

NPI Details
NPI 1558487041
Gender Male
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
796 7TH ST E
SAINT PAUL MN, 55106-5015, US
Phone (651) 774-0347
Fax
Business Location
796 7TH ST E
SAINT PAUL MN, 55106-5015, US
Phone (651) 774-0347
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 38351
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According to our database, Xoua Thao M.D. NPI is 1558487041, taxonomy code is 207Q00000X and license number is 38351, license state is located at Minnesota. Xoua Thao M.D. physically located at 796 7th St E, Saint Paul MN, 55106-5015. NPI Number Xoua Thao M.D. has the Individual type.

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1558487041 NPI number is provided on an as is basis without warranty of any kind. 1558487041 is maintained by the National Plan & Provider Enumeration System. The contents of Xoua Thao M.D. are for informational purposes only.