Individual provider · Type 1 NPI

Porntip - Chaowaratana, MD

Specialist · Florissant, MO

NPI number 1598879140 Active

Practice location

255 Dunn Rd
Florissant, MO 63031-7928

Call (314) 831-0374 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X35131 (MO)

Specialist: 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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About NPI 1598879140

Porntip - Chaowaratana, MD's National Provider Identifier is 1598879140, issued on Aug 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Florissant, MO. The record was last updated on Jul 8, 2007.