Patamasucon, Pisespong

Patamasucon, Pisespong is an individual health care provider with primary practice located at 2055 N High St Ste 380 , Denver CO 80205-5503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Patamasucon, Pisespong can be contacted via phone (303) 393-4300.

Contact Information

Primary practice address
2055 N High St Ste 380 Denver CO 80205-5503
Phone: (303) 393-4300
Fax: (303) 832-7205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 56251 Colorado
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 9696 Nevada

Profile Details

NPI number 1790763415
LBN Legal business name Patamasucon, Pisespong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated May 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790763415 NPPES
Colorado MEDICAID 11780118

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