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Contact Information

VATANA C BOONYASAI, M.D/
200 ST.MARY'S STREET
LOWER LEVEL
PILOT KNOB, MO63650
 Phone: 573-546-3929
 Fax: 573-546-3962
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VATANA C BOONYASAI · (Female)

NPI Number 1326008533
Status Active
Credentials M.D/
Entity Individual
Enumeration date 03/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 33968
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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