Nikom Udom Medical Clinic
NPI #1992922942 in Gridley, California
Provider Information
- NPI Number
- 1992922942
- Entity Type
- Organization
- Organization Name
- Nikom Udom Medical Clinic
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 145 SPRUCE ST
- City
- Gridley
- State
- California
- ZIP Code
- 95948-0947
- Phone
- (530) 846-3604
Authorized Official
- Name
- DR. NIKOM UDOMPHONKUL, M.D.
- Title
- PRESIDENT
- Phone
- (530) 846-3604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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