Individual
NATSUMON UDOMKITTIVORAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
WUSM PEDS, 1 CHILDRENS PL MSC 8116-0043-14, SAINT LOUIS, MO 63110-1002
(314) 454-2094
(314) 454-2515
Mailing address
WUSM PEDS, 1 CHILDRENS PL MSC 8116-0043-14, SAINT LOUIS, MO 63110-1002
(314) 454-2094
(314) 454-2515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024026020
MO
Other
Enumeration date
06/10/2021
Last updated
07/04/2024
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