SIPONG PATAMASUCON

LAKE HAVASU CITY, AZ
NPI1316747256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  11017)
Enumeration Date2025-03-18
Last Update Date2025-03-18
Business Address
SIPONG PATAMASUCON
1801 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403-5668
Phone number: 928-854-5400
Mailing Address
SIPONG PATAMASUCON
9097 W POST RD STE 100
LAS VEGAS, NV 89148-2417
Phone number:
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