| Doctor Name: | FRED CHIN CHU |
| NPI Number: | 1043267149 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | R7E78 |
| Business Practice Address: | 224 S Woods Mill Rd Suite 480 South Chesterfield, MO - 630173451 |
| Business Phone Number: | 3145420700 |
| Business Fax Number: | 3145420009 |
| Mailing Address: | 224 S Woods Mill Rd, Suite 480 South CHESTERFIELD |
| State: | MO |
| Postal Code: | 630173451 |
| Phone Number: | 3145420700 |
| Fax Number: | 3145420009 |
| NPI Enumeration Date: | 05/27/2006 |
| NPI Last Update Date: | 11/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | R7E78 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |