Individual
THOMAS V NATTAKOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4381 E LOHMAN AVE STE B, LAS CRUCES, NM 88011-8255
(575) 522-7697
Mailing address
4381 E LOHMAN AVE STE B, LAS CRUCES, NM 88011-8255
(575) 522-7697
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
97-136
NM
Other
Enumeration date
05/25/2006
Last updated
07/23/2019
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