ANDREW Y. CHAO, INC
Marriage and Family Therapists at Big Bend Rd, Wildwood, MO

License number
Missouri R2A51
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MRS. DAILING CHAO
Title: OFFICE SUPERVISER
Phone: (636) 227-1511
Address
Address
683 Big Bend Rd, Wildwood, MO 63021
National Provider ID: 1780802108
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ANDREW Y. CHAO, INC

683 Big Bnd Rd, Ballwin, MO 63021

Status:
Inactive
Registration:
Jan 19, 1993
State ID:
00375790
Business type:
Gen. Business - For Profit
Expiration:
Perpetual
Agent:
William L. Otten,410 Sovereign Ct, Ballwin, MO 63011 (Physical)

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