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Individual

DR. PATTARA RATTANAWONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
32201
MN
207RC0000X
Cardiovascular Disease Physician
Primary
59255
AZ

Other

Enumeration date
05/05/2016
Last updated
01/18/2023
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