Individual
JAKRAPUN PUPAIBOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2115 S FREMONT AVE, SUITE 3050, SPRINGFIELD, MO 65804-2239
(417) 820-3905
(417) 820-3528
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
104898
MN
207RI0200X
Infectious Disease Physician
Primary
2012034336
MO
207RI0200X
Infectious Disease Physician
53446
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
05
—
PENDING
—
MO
Enumeration date
09/08/2008
Last updated
11/12/2021
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