Individual
DR. SERIN PHRUTTITUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12680 OLIVE BLVD, SUITE 300, CREVE COEUR, MO 63141-6322
(314) 251-8888
(314) 251-8889
Mailing address
12680 OLIVE BLVD, SUITE 300, CREVE COEUR, MO 63141-6322
(314) 251-8888
(314) 251-8889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
108455
MO
207Q00000X
Family Medicine Physician
4301070810
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108537
SECURE HORIZONS
MO
01
—
1399189
AETNA PPO
MO
01
—
2067362
UNITED HEALTHCARE SELECT
MO
05
—
208486118
—
MO
01
—
209864
BC/BS PLANS
MO
01
—
283073
GHP
MO
01
—
431771217
BCE EMERGIS (MULTIPLAN)
MO
01
—
65230
HEATHCARE USA
MO
01
—
700632
MERCYCARE PLUS
MO
01
—
750900066
BNDD
MO
01
—
755719
HEALTHLINK
MO
01
—
7797806
CIGNA
MO
01
—
H10214
MERCY HEALTHPLAN
MO
01
—
P00623861
RAILROAD MEDICARE
MO
Enumeration date
11/29/2005
Last updated
11/12/2014
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