Individual
DR. DAMRONG PATTANUMOTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2033 DIVISADERO ST, FRESNO, CA 93701-2013
(559) 266-6735
(559) 266-2207
Mailing address
2033 DIVISADERO ST, FRESNO, CA 93701-2013
(559) 266-6735
(559) 266-2207
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A039363
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A393630
—
CA
Enumeration date
08/09/2005
Last updated
05/07/2013
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