CHAMNAHN KONGTAHWORN

CLIVE, IA
NPI1982973970
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IA  20052)
Enumeration Date2011-12-20
Last Update Date2011-12-20
Business Address
Dr. CHAMNAHN KONGTAHWORN M.D.
12950 WOODLANDS PKWY
CLIVE, IA 50325-8748
Phone number: 515-225-2369
Mailing Address
Dr. CHAMNAHN KONGTAHWORN M.D.
12950 WOODLANDS PKWY
CLIVE, IA 50325-8748
Phone number: 515-225-2369