Individual
MR. PROMPORN SUKSARANJIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2750
Mailing address
200 HAWKINS DRIVE, E315 GH, IOWA CITY, IA 52242
(319) 356-2750
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD44983
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2010
Last updated
04/06/2018
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