PHOUTHASONE PADAVONG
Assistant, Podiatric
Active
Individual
NPI: 1760821649
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Assistant, Podiatric | 211D00000X | Yes | - |
Frequently Asked Questions
NPI 1760821649 is the National Provider Identifier for PHOUTHASONE PADAVONG, a Assistant, Podiatric provider located in Tripler Army Medical Center, HI. This NPI was enumerated on June 24, 2013.
PHOUTHASONE PADAVONG practices at 1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859.
Quick Facts
- NPI
- 1760821649
- Type
- Individual
- Enumerated
- Jun 24, 2013
- Last Updated
- Jun 24, 2013
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