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Individual

SITTILERK TRIKALSARANSUKH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7114 W HOOD PL, KENNEWICK, WA 99336-6712
(509) 734-4885
Mailing address
7114 W HOOD PL, KENNEWICK, WA 99336-6712
(509) 734-4885

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00031517
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
067897
OR
05
1087543
WA
01
3860TR
ASURIS NW
WA
01
5166927
PPNI
WA
01
51930
LABOR AND INDUSTRIES
WA
01
5980382
AETNA
WA
01
814193
FIRST HLTH CCN COVENTRY
WA
01
8927577
CRIME VICTIMS UNIT
WA
01
9149389
PHCS MULTIPLAN
WA
Enumeration date
03/08/2007
Last updated
07/09/2007
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