Pattamon Sutthatarn, MD

Pediatric Surgery Physician · Saint Louis, MO

Individual Active NPI

NPI number 1386130102

Practice location

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone
(314) 782-0489

Open in Google Maps

NPI record

NPI
1386130102
Entity type
Individual (Type 1)
Enumeration date
July 4, 2018
Last updated
July 4, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Surgery Physician Primary 2086S0120X 2018007553 MO

Mailing address

3949 Lindell Blvd Apt 3037
Saint Louis, MO 63108-3280
Phone
(314) 782-0489

About Dr. Sutthatarn

Pattamon Sutthatarn, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Surgery Physician (code 2086S0120X). The practice location is 1465 S Grand Blvd, Saint Louis, MO 63104-1003. The NPI number 1386130102 was assigned on July 4, 2018 and the record was last updated on July 4, 2018.

Dr. Sutthatarn lists a license in the registry: #2018007553 (MO) for Pediatric Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Pattamon Sutthatarn, MD?

The NPI number is 1386130102.

What is the phone number of Dr. Sutthatarn?

The phone number listed for the practice location is (314) 782-0489.

Where is Dr. Sutthatarn located?

1465 S Grand Blvd, Saint Louis, MO 63104-1003.

What is the taxonomy code for Dr. Sutthatarn?

The primary taxonomy code is 2086S0120X – Pediatric Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatric Surgery Physician providers in Saint Louis

All Pediatric Surgery Physician providers in Saint Louis, MO →