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Organization
NUTTANUN SURAMAETHAKUL MD LLC
Active
Organization
NUTTANUN SURAMAETHAKUL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NUTTANUN SURAMAETHAKUL MD (MD/OWNER)
(801) 268-6830
Entity
Organization
Contact information
Practice address
1151 E 3900 S, SUITE B299, SALT LAKE CITY, UT 84124-1216
(801) 268-6830
(801) 262-3584
Mailing address
1151 E 3900 S, SUITE B299, SALT LAKE CITY, UT 84124-1216
(801) 268-6830
(801) 262-3584
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
9492315-1205
UT
Other
Enumeration date
12/28/2015
Last updated
01/16/2016
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