OrganizationActive
Chotchai Srisuro, M.D., Inc.
NPI 1467688937 · Gynecologic Oncology Physician · Fenton, MO
Provider details
- NPI number
- 1467688937
- Entity type
- Organization
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chotchai Srisuro, President(314) 518-3665
- License
- 33186 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1011 Bowles Ave
Suite G10
Fenton, MO 63026-2387
Phone: (636) 496-5450
Fax: (636) 496-4963
Approximate (ZIP-level) locationGet directions
Mailing address
1011 Bowles Ave
Fenton, MO 63026-2387
Registry dates
- Enumerated
- 2009-06-10
- Last updated
- 2009-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.