CHOTCHAI BOONKHAM

BRIDGETON, MO
NPI1417058959
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  34210)
Enumeration Date2006-09-26
Last Update Date2012-01-19
Business Address
Dr. CHOTCHAI BOONKHAM M.D.
3478 BRIDGELAND DR SUITE 1
BRIDGETON, MO 63044-2619
Phone number: 314-291-3717
Mailing Address
Dr. CHOTCHAI BOONKHAM M.D.
3478 BRIDGELAND DR SUITE 1
BRIDGETON, MO 63044-2619
Phone number: 314-291-3717