Vatana C. Boonyasai, M.D/
NPI #1326008533 in Pilot Knob, Missouri
Provider Information
- NPI Number
- 1326008533
- Entity Type
- Individual
- Name
- Vatana C. Boonyasai, M.D/
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Family Medicine
- Credential
- M.D/
- Enumeration Date
- Mar 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 200 ST.MARY'S STREET
- Address 2
- LOWER LEVEL
- City
- Pilot Knob
- State
- Missouri
- ZIP Code
- 63650
- Phone
- (573) 546-3929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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