Individual
PAUL THISAYAKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 OAKCREST ST, APT. 13, IOWA CITY, IA 52246-3474
(773) 782-7682
Mailing address
815 OAKCREST ST, APT. 13, IOWA CITY, IA 52246-3474
(773) 782-7682
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R-8992
IA
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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