Individual
ARTTHAPOL TANPHAICHITR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13660 N 94TH DR, SUITE C-2, PEORIA, AZ 85381-4836
(623) 760-9449
(623) 974-9351
Mailing address
14506 W GRANITE VALLEY DR, SUITE 124, SUN CITY WEST, AZ 85375-6010
(623) 584-2127
(623) 546-9682
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
50280
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15848241235
BC/BS
AZ
01
—
29415
AHCCCS
AZ
Enumeration date
11/09/2005
Last updated
01/26/2016
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