DR. Tony Kong Moua, PHD

NPI #1366047235 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1366047235
Entity Type: Individual
Name: DR. Tony Kong Moua, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHD
Enumeration Date: Dec 1, 2020
Last Updated: Dec 1, 2020

Practice Location

Address: 4800 HIGHWAY 61 N
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-2844
Phone: (651) 762-3864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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