Opas & Puangtong Jutabha

NPI #1508048273 in Quartzsite, Arizona

Provider Information

NPI Number
1508048273
Entity Type
Organization
Organization Name
Opas & Puangtong Jutabha
Primary Specialty
Family Medicine
Enumeration Date
Dec 4, 2007
Last Updated
Apr 20, 2008

Practice Location

Address
394 N CENTRAL BLVD
State
Arizona
ZIP Code
85346-1499
Phone
(928) 927-5454

Authorized Official

Name
DR. PUANGTONG JUTABHA, M.D.
Title
OWNER
Phone
(928) 927-5454

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Family Medicine

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