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Individual

DR. NARIS RUJANAVECH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
232 S WOODS MILL RD, CHESTERFIELD, MO 63017-3417
(314) 205-6100
(314) 878-5437
Mailing address
1715 DEER TRACKS TRL, SUITE 130, SAINT LOUIS, MO 63131-1839
(314) 821-5600
(314) 821-2180

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35625
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2027477804
MO
Enumeration date
07/10/2006
Last updated
02/25/2008
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