Organization
BOONYASAI & BOONYASAI, M.D.P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOONFU BOONYASAI M.D. (PRESIDENT)
(573) 546-3929
Entity
Organization
Contact information
Practice address
200 ST . MARYS STREET, LOWER LEVEL, PILOT KNOB, MO 63663
(573) 546-3929
(573) 546-3962
Mailing address
200 ST. MARYS STREET PO BOX 527, LOWER LEVEL, PILOT KNOB, MO 63663
(573) 546-3929
(573) 546-3962
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
33967
MO
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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