Individual
PONGDANAI KANGTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 COCHRANE CIR, COLORADO SPRINGS, CO 80913-4613
(719) 526-7120
Mailing address
1650 COCHRANE CIR, COLORADO SPRINGS, CO 80913-4613
(719) 526-7120
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/07/2025
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