Opas & Puangtong Jutabha
Organization Active NPI Family Medicine Physician · Quartzsite, AZ
NPI 1508048273 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1508048273
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11855 (AZ)
- Legal business name
- OPAS & PUANGTONG JUTABHA
- Practice address
- 394 N Central Blvd
Quartzsite, AZ 85346-1499 - Phone
- (928) 927-5454
- Fax
- (927) 928-3303
- NPI assigned
- Dec 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Puangtong Jutabha, M.D.
- Title
- Owner
- Phone
- (928) 927-5454
Practitioners 1
-
Noy Soti, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 11855 | AZ | Yes |
| Internal Medicine Physician |
207R00000X | 11915 | AZ |
Addresses
Primary practice location
394 N Central Blvd
Quartzsite, AZ 85346-1499
Mailing address
PO Box 1499
Quartzsite, AZ 85346-1499
Phone (928) 927-5454
Other names
- VALLEY MEDICAL CENTER
Other providers in Quartzsite, AZ
- La Paz Regional Hospital Inc
- La Paz Regional Hospital, Inc.
- Lakeside Orthopedic Institute, LLC
- Medi-First Medical Center P.L.L.C.
- Medi-First Medical Center P.L.L.C.
- Benvinda Ann Pereira
- Howard Pulver
- Quartzsite Fire District
- Rocky Mountain Holdings, LLC
- April Sawyer
All providers in Quartzsite, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.