| Boonfu Boonyasai, MD | |
|
200 St. Marys Street, Lower Level, Pilot Knob, MO 63663 | |
| (573) 546-3929 | |
| (573) 546-3962 |
| Full Name | Boonfu Boonyasai |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 200 St. Marys Street, Pilot Knob, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518927722 | NPI | - | NPPES |
| 200666303 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33967 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Boonfu Boonyasai, MD Po Box 527, Pilot Knob, MO 63663-0527 Ph: (573) 546-3929 | Boonfu Boonyasai, MD 200 St. Marys Street, Lower Level, Pilot Knob, MO 63663 Ph: (573) 546-3929 |
Vatana C. Boonyasai, M.D/ Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 St.mary's Street, Lower Level, Pilot Knob, MO 63650 Phone: 573-546-3929 Fax: 573-546-3962 | |
Dr. Harry Taylor Harness, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 315 West Mulberry Street, Pilot Knob, MO 63663 Phone: 573-546-0602 Fax: 573-546-0624 |