Chotchai Srisuro, M.d., Inc.

NPI #1467688937 in Fenton, Missouri

Provider Information

NPI Number: 1467688937
Entity Type: Organization
Organization Name: Chotchai Srisuro, M.d., Inc.
Primary Specialty: Obstetrics & Gynecology - Gynecologic Oncology
Enumeration Date: Jun 10, 2009
Last Updated: Jun 10, 2009

Practice Location

Address: 1011 BOWLES AVE
Address 2: SUITE G10
City: Fenton
State: Missouri
ZIP Code: 63026-2387
Phone: (636) 496-5450

Authorized Official

Name: DR. CHOTCHAI SRISURO, M.D.
Title: PRESIDENT
Phone: (314) 518-3665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology	207VX0201X	Primary

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