SINEE DISTHA-BANCHONG

SAINT LOUIS, MO
NPI1669726832
Former NameSINEE DISTHABANCHONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: MO  2012037985)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MO  2012037985)
Enumeration Date2012-11-09
Last Update Date2012-11-09
Business Address
Dr. SINEE DISTHA-BANCHONG M.D.
1402 S GRAND BLVD DIVISION OF NEPHROLOGY (9-FDT)
SAINT LOUIS, MO 63104-1004
Phone number: 314-577-8765
Mailing Address
Dr. SINEE DISTHA-BANCHONG M.D.
1402 S GRAND BLVD DIVISION OF NEPHROLOGY (9-FDT)
SAINT LOUIS, MO 63104-1004
Phone number: 314-577-8765