DR. Sirisak Suntharasantic, MD

NPI #1114083888 in Alton, Illinois

Provider Information

NPI Number: 1114083888
Entity Type: Individual
Name: DR. Sirisak Suntharasantic, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Dec 28, 2006
Last Updated: May 3, 2018

Practice Location

Address: 4 MEMORIAL DR STE 210
City: Alton
State: Illinois
ZIP Code: 62002-6751
Phone: (618) 463-0649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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