Ida Tuwatananurak D.O.

NPI 1083092753 - Family Medicine - 207Q00000X

NPI Details
NPI 1083092753
Gender Female
Enumeration Date 05/13/2015
Last Updated 05/13/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
5215 CENTRE AVE
PITTSBURGH PA, 15232-1303, US
Phone (412) 623-2287
Fax
Business Location
5215 CENTRE AVE
PITTSBURGH PA, 15232-1303, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number OT016449
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According to our database, Dr. Ida Tuwatananurak D.O. NPI is 1083092753, taxonomy code is 207Q00000X and license number is OT016449, license state is located at Pennsylvania. Ida Tuwatananurak D.O. physically located at 5215 Centre Ave, Pittsburgh PA, 15232-1303. NPI Number Ida Tuwatananurak D.O. has the Individual type.

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1083092753 NPI number is provided on an as is basis without warranty of any kind. 1083092753 is maintained by the National Plan & Provider Enumeration System. The contents of Ida Tuwatananurak D.O. are for informational purposes only.