DR. Nikom Udomphonkul, MD
NPI #1598849192 in Gridley, California
Provider Information
- NPI Number
- 1598849192
- Entity Type
- Individual
- Name
- DR. Nikom Udomphonkul, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- MD
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Feb 23, 2016
Practice Location
- Address
- 284 SPRUCE ST
- City
- Gridley
- State
- California
- ZIP Code
- 95948-2216
- Phone
- (530) 846-9035
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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Organizations
| Provider Name | |
|---|---|
| Nikom Udom Medical Clinic |
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