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

DR. SERIN PHRUTTITUM, MD

Active

DR. SERIN PHRUTTITUM, MD is a Family Medicine healthcare provider located in CREVE COEUR, Missouri. NPI 1831172451 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CREVE COEUR, MO

Registration Details

NPI Number
1831172451
Provider Type
Individual
Gender
Male
NPI Issued
Nov 29, 2005 (20.671127482286 yrs)
Last Updated
Nov 12, 2014
Licenses
4301070810 (MI)
108455 (MO)

Practice Information

Address
12680 OLIVE BLVD
SUITE 300
CREVE COEUR, MO, 631416322
Browse MO providers · Browse ZIP 63141
Phone
3142518888
Fax
3142518889
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in CREVE COEUR, MO

Name Credential NPI
BETSY F. CLEMENS M.D. 1700850443
DR. PETER G DANIS MD 1669447314
DR. ERIC H MAI MD 1477520583
DIVYA CHAUHAN M.D. 1508802976
SCOTT SIMMONS MD 1740496199
DR. ALLISON CLAIRE FLAMMANG D.O. 1154760163
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.