Individual
ANUPONG CHOTIMONGKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 CENTRAL AVENUE, DODGE CITY, KS 67801-1000
(620) 227-1371
(620) 227-1208
Mailing address
2020 CENTRAL AVENUE, DODGE CITY, KS 67801-1000
(620) 227-1371
(620) 227-1208
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0416467
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100084030A
—
KS
Enumeration date
11/10/2005
Last updated
01/22/2014
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