Individual
DR. APICHAN POOTRAKUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13188 N 103RD DR, STE. 206, SUN CITY, AZ 85351-3064
(623) 972-3001
(623) 933-3045
Mailing address
PO BOX 53568, PHOENIX, AZ 85072-3568
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
13567
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204727
—
AZ
Enumeration date
11/17/2005
Last updated
10/06/2008
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