MR. Teera Pittayathikhun, MD

NPI #1144234956 in Sparta, Illinois

Provider Information

NPI Number: 1144234956
Entity Type: Individual
Name: MR. Teera Pittayathikhun, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: Jul 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 211A SOUTH BURNS
City: Sparta
State: Illinois
ZIP Code: 62286
Phone: (618) 443-3522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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