Phouthasone Padavong
NPI #1760821649 in Tripler Army Medical Center, Hawaii
Provider Information
- NPI Number
- 1760821649
- Entity Type
- Individual
- Name
- Phouthasone Padavong
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assistant, Podiatric
- Enumeration Date
- Jun 24, 2013
- Last Updated
- Jun 24, 2013
Practice Location
- Address
- 1 JARRETT WHITE RD
- State
- Hawaii
- ZIP Code
- 96859-5001
- Phone
- (808) 433-4777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assistant, Podiatric |
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