Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 2006027969 | MO |
NPI | 1801077250 |
---|---|
Provider Name | Noppachart Limpaphayom |
First Address | Saint Louis, MO 63131-3504 |
Second Address | Saint Louis, MO 63131-3504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2007 |
Last Update Date | 14/11/2007 |