Boonyasai & Boonyasai, M.d.p. C. | |
200 St . Marys Street Lower Level Pilot Knob MO 63663 | |
(573) 546-3929 | |
(573) 546-3962 |
Full Name | Boonyasai & Boonyasai, M.d.p. C. |
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Speciality | General Practice |
Location | 200 St . Marys Street, Pilot Knob, Missouri |
Authorized Official Name and Position | Boonfu Boonyasai (PRESIDENT) |
Authorized Official Contact | 5735463929 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boonyasai & Boonyasai, M.d.p. C. 200 St. Marys Street Po Box 527 Lower Level Pilot Knob MO 63663 Ph: (573) 546-3929 | Boonyasai & Boonyasai, M.d.p. C. 200 St . Marys Street Lower Level Pilot Knob MO 63663 Ph: (573) 546-3929 |
NPI Number | 1144406455 |
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Provider Enumeration Date | 01/16/2008 |
Last Update Date | 01/16/2008 |
Identifier | Type | State | Issuer |
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1144406455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 33967 (Missouri) | Primary |