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Individual

SANIT SAENGSAMRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(618) 463-7311
Mailing address
6340 CLAYTON RD APT 304, SAINT LOUIS, MO 63117-2513

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-098626
IL
207P00000X
Emergency Medicine Physician
116980
MO
207P00000X
Emergency Medicine Physician
327103-1205
UT
207P00000X
Emergency Medicine Physician
41230
MN
207P00000X
Emergency Medicine Physician
DR-37522
CO
207P00000X
Emergency Medicine Physician
MD00036584
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036098626-1
IL
05
036098626-3
IL
01
106880A
BLUE SHIELD
MO
05
1629093000
MO
05
1629093000-2
IL
05
207396409
MO
01
6023191
BLUE SHIELD
IL
Enumeration date
07/13/2006
Last updated
01/23/2013
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