Miss Pattamon Sutthatarn
Pediatric Surgery
1465 S Grand Blvd
Saint Louis
, Missouri 63104-1003
Miss Pattamon Sutthatarn
Pediatric Surgery
1465 S Grand Blvd
Saint Louis
, Missouri 63104-1003
(314) 782-0489
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Miss Pattamon Sutthatarn
- 3949 Lindell Blvd Apt 3037
- Saint Louis, MO
- Zip : 63108-3280
- Phone : (314) 782-0489
Second Address
- Miss Pattamon Sutthatarn
- 1465 S Grand Blvd
- Saint Louis, MO
- Zip : 63104-1003
- Phone : (314) 782-0489
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What type of doctor is Miss Pattamon Sutthatarn
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Is Miss Pattamon Sutthatarn a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 2018007553 | MO |
National Provider Identifier
| NPI | 1386130102 |
|---|---|
| Provider Name | Miss Pattamon Sutthatarn |
| First Address | Saint Louis, MO 63108-3280 |
| Second Address | Saint Louis, MO 63104-1003 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2018 |
| Last Update Date | 04/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.