Individual
MR. DUMRONG JIRASUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 W MARCH LANE, SUITE H, STOCKTON, CA 95207-5729
(209) 477-4485
(209) 477-4487
Mailing address
75 W MARCH LANE, SUITE H, STOCKTON, CA 95207-5729
(209) 477-4485
(209) 477-4487
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A41741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A417410
—
CA
Enumeration date
08/21/2006
Last updated
07/08/2007
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