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1417058959
CHOTCHAI BOONKHAM
BRIDGETON, MO
NPI
1417058959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 34210)
Enumeration Date
2006-09-26
Last Update Date
2012-01-19
Business Address
Dr. CHOTCHAI BOONKHAM M.D.
3478 BRIDGELAND DR SUITE 1
BRIDGETON, MO 63044-2619
Phone number: 314-291-3717
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Mailing Address
Dr. CHOTCHAI BOONKHAM M.D.
3478 BRIDGELAND DR SUITE 1
BRIDGETON, MO 63044-2619
Phone number: 314-291-3717
Copy
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