DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHOTCHAI BOONKHAM MD PC

Active Organization

CHOTCHAI BOONKHAM MD PC is a Primary Care Clinic organization located in BRIDGETON, Missouri. NPI 1619248853 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · BRIDGETON, MO

Registration Details

NPI Number
1619248853
Provider Type
Organization
NPI Issued
Jan 19, 2012 (14.592711443237 yrs)
Last Updated
Jan 19, 2012
License
34210 (MO)

Practice Information

Address
3478 BRIDGELAND DR
SUITE 1
BRIDGETON, MO, 630442619
Browse MO providers · Browse ZIP 63044
Phone
3142913717
Fax
3142911671
Primary Specialty
Primary Care Clinic
261QP2300X

Other Primary Care Clinic Organizations in BRIDGETON, MO

Name NPI
JOULE N STEVENSON MD LLC 1407068851
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.