Individual
DR. PON TRAIRATVORAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1504 SPRINGHILL AVE, CHILDREN'S MEDICAL CENTER, MOBILE, AL 36604-3207
(251) 434-3915
(251) 434-3802
Mailing address
1700 CENTER ST, PEDIATRIC RESIDENCY PROGRAM, MOBILE, AL 36604-3301
(251) 415-1087
(251) 415-1087
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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