BOONYASAI BOONYASAI MDP C, General Practice PILOT KNOB, MO

Contact Information

BOONYASAI & BOONYASAI, M.D.P. C.

200 ST . MARYS STREET
LOWER LEVEL
PILOT KNOB, MO 63663

Phone: 573-546-3929
Fax: 573-546-3962
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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

NPI Number	`1144406455`
Status	Active
Credentials
Entity	Individual
Enumeration date	01/16/2008
Last updated	01/16/2008 - About 18 years ago
Sole proprietor ¹	Not specified
Identifiers	MO License # 33967
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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