DR. Porntip - Chaowaratana, M.D.
NPI #1598879140 in Florissant, Missouri
Provider Information
- NPI Number
- 1598879140
- Entity Type
- Individual
- Name
- DR. Porntip - Chaowaratana, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Aug 19, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 255 DUNN RD
- City
- Florissant
- State
- Missouri
- ZIP Code
- 63031-7928
- Phone
- (314) 831-0374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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