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Individual

DR. KULLADA PICHAKRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
60 MSGS/SGCQ, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535-1800
(707) 423-5188
(707) 423-7949
Mailing address
7056 BROWNS VALLEY RD, VACAVILLE, CA 95688-9353
(707) 451-1135

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A92499
CA

Other

Enumeration date
10/03/2005
Last updated
12/22/2021
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