Individual
DR. SOMPORN PUANGSUVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 W 12TH ST, CARUTHERSVILLE, MO 63830-1890
(573) 333-1124
(573) 333-1124
Mailing address
PO BOX1155, 418 WARD AVENUE, CARUTHERSVILLE, MO 63830
(573) 333-0156
(573) 333-0156
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R7161
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200217818
—
MO
01
—
826021923
RAILROAD MEDICARE
—
Enumeration date
09/05/2006
Last updated
04/22/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us