Individual
SIPONG PATAMASUCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5668
(928) 854-5400
Mailing address
9097 W POST RD STE 100, LAS VEGAS, NV 89148-2417
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11017
AZ
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us