Individual
SUTTATIP VECHVITVARAKUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15030 7TH ST, VICTORVILLE, CA 92395-3811
(760) 951-0065
Mailing address
15030 7TH ST, VICTORVILLE, CA 92395-3811
(760) 951-0065
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
036125829
IL
2086S0129X
Vascular Surgery Physician
Primary
A135920
CA
Other
Enumeration date
07/21/2008
Last updated
08/03/2015
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