Individual
PISESPONG PATAMASUCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1524 PINTO LN FL 3, LAS VEGAS, NV 89106-4195
(702) 944-2828
(702) 944-2852
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
(702) 780-2315
(702) 895-1014
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
56251
CO
2080P0208X
Pediatric Infectious Diseases Physician
Primary
9696
NV
Other
Enumeration date
01/03/2006
Last updated
02/10/2025
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