Individual
MR. YUTT CHANTANARUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2521 E CAROB DR, GILBERT, AZ 85298-8485
(480) 495-6478
Mailing address
2521 E CAROB DR, GILBERT, AZ 85298-8485
(480) 495-6478
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN214059
AZ
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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