Individual provider · Type 1 NPI

Pattamon Sutthatarn, MD

Pediatric Surgery Physician · St. Louis, MO

NPI number 1386130102 Active

Practice location

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

Mailing address

3949 Lindell Blvd Apt 3037
St. Louis, MO 63108-3280

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120X2018007553 (MO)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1386130102

Pattamon Sutthatarn, MD's National Provider Identifier is 1386130102, issued on Jul 4, 2018. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in St. Louis, MO. The record was last updated on Jul 4, 2018.