Doctor Name: | DR. MOU SHYONG CHERN |
NPI Number: | 1649386459 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | R9371 |
Business Practice Address: | 1301 North Highway 5 Ava, MO - 656080218 |
Business Phone Number: | 4176833511 |
Business Fax Number: | 4176833521 |
Mailing Address: | Po Box 218, AVA |
State: | MO |
Postal Code: | 656080218 |
Phone Number: | 4176833511 |
Fax Number: | 4176833521 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | R9371 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |