Individual
DR. PAKORN URUSOPONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2475
(317) 988-2477
Mailing address
7138 CHESTERTON LN, INDIANAPOLIS, IN 46237-8308
(317) 865-8944
(317) 988-2477
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01051441A
IN
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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