| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 01/16/2008 |
| Last Update Date | 01/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144406455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 33967 (Missouri) | Primary |
Iron County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 N Highway 21, Pilot Knob, MO 63663 Phone: 573-546-8051 | |
Big Springs Medical Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 W. Mulberry, Pilot Knob, MO 63663 Phone: 573-546-1001 Fax: 573-546-1002 | |
Big Springs Medical Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 W Mulberry St, Pilot Knob, MO 63663 Phone: 573-546-0602 Fax: 573-546-0624 | |
Madison Medical Center Stockhoff Memorial Nursing Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 St. Mary, Pilot Knob, MO 63663 Phone: 573-546-7000 Fax: 573-546-6420 |