SearchMissouri207Q00000X

Serin Phruttitum, MD

NPI 1831172451 · on the registry since 2005

Practice

Address
12680 Olive Blvd
Suite 300
Creve Coeur, MO 63141
Phone
(314) 251-8888
Fax
(314) 251-8889
Clinicians at this address
4

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
Licence states on file
MI, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri