Individual
PICHET IAMPORNPIPOPCHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 ROUTE 3, DEDEDO, GU 96929
(671) 645-5500
Mailing address
133 ROUTE 3, DEDEDO, GU 96929
(671) 649-7232
(671) 649-7233
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
M-1773
GU
208M00000X
Hospitalist Physician
Primary
M-1773
GU
Other
Enumeration date
07/22/2008
Last updated
05/15/2019
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