Individual
DHAJPHONG LIMPIPHIPHATN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1145 STONEWOLF TRL, FAIRVIEW HEIGHTS, IL 62208-4510
(314) 719-7056
Mailing address
1145 STONEWOLF TRL, FAIRVIEW HEIGHTS, IL 62208-4510
(314) 719-7056
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R5529
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE NUMBER
R5529
MO
Enumeration date
06/29/2007
Last updated
07/08/2007
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