Dr. Sombat Muengtaweepongsa, MD
Psychiatry & Neurology, Neurology in Saint Louis, MO. Individual provider (NPI-1).
NPI number1861692642
StatusActive
Last updated in NPPESJul 20, 2007
Details
- NPI
- 1861692642
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sombat Muengtaweepongsa
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2007
- Last updated
- Jul 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 2005018787 | MO | Yes |
Practice location
3660 Vista AveSuite 303
Saint Louis, MO 63110-2540
Phone 314-977-6082 · Fax 314-977-6086
Mailing address
1438 S Grand BlvdSaint Louis, MO 63104-1027
Phone 314-977-4866 · Fax 314-977-4876
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