Individual
MISS PATTAMON SUTTHATARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 782-0489
Mailing address
3949 LINDELL BLVD APT 3037, SAINT LOUIS, MO 63108-3280
(314) 782-0489
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
2018007553
MO
Other
Enumeration date
07/04/2018
Last updated
07/04/2018
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