Organization · Type 2 NPI
Boonyasai & Boonyasai, M.d.p. C.
General Practice Physician · Pilot Knob, MO
NPI number
1144406455
Active
Practice location
200 St . Marys Street, Lower Level
Pilot Knob, MO 63663
Fax (573) 546-3962
Mailing address
200 St. Marys Street PO Box 527, Lower Level
Pilot Knob, MO 63663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 33967 (MO) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1144406455
Boonyasai & Boonyasai, M.d.p. C.'s National Provider Identifier is 1144406455, issued on Jan 16, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Pilot Knob, MO. The record was last updated on Jan 16, 2008.