Individual
CHOTCHAI SRISURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
533 COUCH AVE, SUITE 287, SAINT LOUIS, MO 63122-5561
(314) 821-9144
(314) 821-8019
Mailing address
533 COUCH AVE, SUITE 287, SAINT LOUIS, MO 63122-5561
(314) 821-9144
(314) 821-8019
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
33186
MO
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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