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NPI Code Detail

MEDICARE: PETER LUONG

MEDICARE: PETER LUONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician14279016-1205UT

General Provider Information

NPI Number : 1932785045
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER LUONG
Provider Business Mailing Address
First Line : 1008 S SPRING AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-2520
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1008 S SPRING AVE
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63110-2520
Country : US
Telephone Number : 314-977-8884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2021
Last Update Date : 06/09/2026

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Directions to “ PETER LUONG ” Practice Location

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