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Individual

PILAIPORN PALAKAWONG NA AYUDHYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4100 HIGH RESORT BLVD SE, PRESBYTERIAN MEDICAL GROUP, ENDOCRINOLOGY, RIO RANCHO, NM 87124-5901
(505) 462-8888
Mailing address
4100 HIGH RESORT BLVD SE, PRESBYTERIAN MEDICAL GROUP, ENDOCRINOLOGY, RIO RANCHO, NM 87124-5901
(505) 462-8888

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD2015-0761
NM
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD2015-0761
NM

Other

Enumeration date
07/08/2010
Last updated
10/28/2015
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