DR. Chotchai Boonkham, M.D.

NPI #1417058959 in Bridgeton, Missouri

Provider Information

NPI Number
1417058959
Entity Type
Individual
Name
DR. Chotchai Boonkham, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine
Credential
M.D.
Enumeration Date
Sep 26, 2006
Last Updated
Jan 19, 2012

Practice Location

Address
3478 BRIDGELAND DR
Address 2
SUITE 1
ZIP Code
63044-2619
Phone
(314) 291-3717

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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