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Organization

DIGESTIVE DISEASE SPECIALISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
POONPUTT CHOTIPRASIDHI M.D. (OWNER/PHYSICIAN)
(309) 601-2814
Entity
Organization

Contact information

Practice address
525 VALLEY VIEW DRIVE, MOLINE, IL 61265
(309) 601-2814
(309) 601-2803
Mailing address
525 VALLEY VIEW DRIVE, MOLINE, IL 61265
(309) 601-2814
(309) 601-2803

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
09/13/2011
Last updated
11/04/2024
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