TEERAWIT SUPAKORNDEJ

EVERETT, WA
NPI1336599208
Other NameTIM SUPAKORNDEJ
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: WA  MD61047461)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MO  2016018207)
Enumeration Date2016-06-21
Last Update Date2020-09-14
Business Address
DR. TEERAWIT SUPAKORNDEJ MD
4004 COLBY AVE
EVERETT, WA 98201-6203
Phone number: 425-339-5417
Mailing Address
DR. TEERAWIT SUPAKORNDEJ MD
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: 425-339-5417