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Organization

S PATT MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUWAPANG PATTUMMADITH MD (PRESIDENT)
(909) 592-2816
Entity
Organization

Contact information

Practice address
1818 N ORANGE GROVE, STE 104, POMONA, CA 91767
(909) 592-2816
(909) 868-6967
Mailing address
1818 N ORANGE GROVE, STE 104, POMONA, CA 91767
(909) 592-2816
(909) 868-6967

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A32823
CA
207ND0900X
Dermatopathology Physician
A32823
CA
207NS0135X
Procedural Dermatology Physician
A32823
CA

Other

Enumeration date
08/29/2007
Last updated
03/27/2008
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