Promporn Suwanabol

Individual Active
NPI 1710395058
Medical Physician Assistant Watertown, WI

Promporn Suwanabol holds NPI 1710395058, with a primary taxonomy of medical physician assistant and a practice location in Watertown, WI. The number was issued on July 30, 2014 and the NPPES record was last updated on December 16, 2014.

This record hasn't been updated in NPPES since 2014. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 3398-23 (WI)

Practice location

123 Hospital Dr
Suite 2009
Watertown, WI 53098-3331
Phone: (920) 262-9833

Local context

Active NPPES records list 17 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 7 of them within 10 miles.

The same primary taxonomy is listed by 705 in Wisconsin and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Promporn June Suwanabol
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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