Individual
ARBHA VONGSVIVUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 E 5TH ST, SUITE 101, ALTON, IL 62002
(618) 462-0547
(618) 462-0570
Mailing address
815 E 5TH ST, SUITE 101, ALTON, IL 62002
(618) 462-0547
(618) 462-0570
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
IL
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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