Individual
DR. VISESPONG PUNYANITYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 8TH ST NE, CHARLOTTESVILLE, VA 22902-4727
(434) 296-3830
(434) 979-6181
Mailing address
411 8TH ST NE, CHARLOTTESVILLE, VA 22902-4727
(434) 296-3830
(434) 979-6181
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101031875
VA
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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