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Dr. Porntip - Chaowaratana, MD
Specialist in Florissant, Missouri
NPI 1598879140

Porntip - Chaowaratana is a Specialist based in Florissant, MO. Porntip - Chaowaratana practices in Florissant, MO and has the professional credentials of MD. The NPI Number for Porntip - Chaowaratana is 1598879140 and holds a License No. 35131 (Missouri).

The current practice location address for Porntip - Chaowaratana is 255 Dunn Rd, Florissant, MO and can be reached out via phone at 314-831-0374. You can also correspond with Porntip - Chaowaratana through the mailing address at 255 DUNN RD, FLORISSANT, MO - 63031-7928 (mailing address contact number: 314-831-0374).

Location: 255 Dunn Rd, Florissant, MO, 63031-7928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598879140
Provider Name
Porntip - Chaowaratana
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
255 Dunn Rd, Florissant, MO, 63031-7928
Phone Number
314-831-0374
Fax Number
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
255 Dunn Rd
City
Florissant
State
Missouri
Zip
63031-7928
Phone Number
314-831-0374
Fax Number
person
Provider Business Mailing Address Details
Address
255 Dunn Rd
City
Florissant
State
Missouri
Zip
63031-7928
Phone Number
314-831-0374
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
35131 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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