Boonyasai & Boonyasai, M.d.p. C.

NPI #1144406455 in Pilot Knob, Missouri

Provider Information

NPI Number: 1144406455
Entity Type: Organization
Organization Name: Boonyasai & Boonyasai, M.d.p. C.
Primary Specialty: General Practice
Enumeration Date: Jan 16, 2008
Last Updated: Jan 16, 2008

Practice Location

Address: 200 ST . MARYS STREET
Address 2: LOWER LEVEL
City: Pilot Knob
State: Missouri
ZIP Code: 63663
Phone: (573) 546-3929

Authorized Official

Name: DR. BOONFU BOONYASAI, M.D.
Title: PRESIDENT
Phone: (573) 546-3929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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