Individual
DR. SURACHAI AMORNSAWADWATTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV IM GASTROENTEROLOGY, SAINT LOUIS, MO 63110-1003
(314) 747-2066
(314) 362-2357
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 747-2066
(314) 362-2357
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2015038208
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200022390
—
MO
Enumeration date
07/05/2012
Last updated
04/15/2025
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