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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SIPONG PATAMASUCON

Active

SIPONG PATAMASUCON is a Physician Assistant healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1316747256 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LAKE HAVASU CITY, AZ

Registration Details

NPI Number
1316747256
Provider Type
Individual
Gender
Male
NPI Issued
Mar 18, 2025 (1.388690640632 yrs)
Last Updated
Mar 18, 2025
License
11017 (AZ)

Practice Information

Address
1801 MESQUITE AVE
LAKE HAVASU CITY, AZ, 864035668
Browse AZ providers · Browse ZIP 86403
Phone
9288545400
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LAKE HAVASU CITY, AZ

Name Credential NPI
JAMES T CORBETT PA-C 1972577088
CHRISTIAN L GRANDELL PA-C 1588603542
MR. KYLE DENMAN PAC 1750325411
MR. RICHARD L HOLMES JR. PA-C 1467478396
MS. LISA VICTORIA WILLIAMS PA 1437163557
JULIE M. MCGUIRE PA-C 1730296088
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.