Individual
SAM TONTHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6500
Mailing address
155 N FRESNO ST, FRESNO, CA 93701-2302
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20A15865
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
05/07/2022
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