Uraiwan Tana Hompluem MD

NPI 1477619278 - Pediatrics - 208000000X

NPI Details
NPI 1477619278
Gender Female
Enumeration Date 12/28/2006
Last Updated 04/25/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
2 TERMINAL DR
SUITE 8
EAST ALTON IL, 62024-2268, US
Phone (618) 259-1419
Fax (618) 259-1502
Business Location
2 TERMINAL DR
SUITE 8
EAST ALTON IL, 62024-2268, US
Phone (618) 259-1419
Fax (618) 259-1502
Toxanomy
Taxonomy Code 208000000X
License State Illinois
License Number 036067508
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According to our database, Dr. Uraiwan Tana Hompluem MD NPI is 1477619278, taxonomy code is 208000000X and license number is 036067508, license state is located at Illinois. Uraiwan Tana Hompluem MD physically located at 2 Terminal Dr, East Alton IL, 62024-2268. NPI Number Uraiwan Tana Hompluem MD has the Individual type.

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1477619278 NPI number is provided on an as is basis without warranty of any kind. 1477619278 is maintained by the National Plan & Provider Enumeration System. The contents of Uraiwan Tana Hompluem MD are for informational purposes only.