Joe Potchanard Chauvapun in Victorville - Vascular Surgery
Joe Potchanard Chauvapun - NPI 1487842597
Joe Potchanard Chauvapun is a Vascular Surgery in Victorville, California. Joe Potchanard Chauvapun practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Joe Potchanard Chauvapun is 1487842597. The last update date is 2023-01-17.
Joe Potchanard Chauvapun's current location address is 15030 7th St, Victorville, California. You can contact this provider via phone number 7609510065 and fax number 7609515382. The mailing address for Joe Potchanard Chauvapun is 15030 7th St, Victorville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joe Potchanard Chauvapun |
|---|---|
| Address | 15030 7th St, Victorville, California |
| Phone Number | 7609510065 |
| Fax Number | 7609515382 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487842597 |
|---|---|
| Provider Enumeration Date | 2007-10-15 |
| Last Updated Date | 2023-01-17 |
Provider Mailing Address Detail
| Address | 15030 7th St |
|---|---|
| City | Victorville |
| State | California (CA) |
| Post Code | 923953811 |
| Phone Number | 7609510065 |
| Fax Number | 7609515382 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | A104925 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M050376 | CA | GROUP |
Post Comment/ Review Below
What is the unique identification code assigned to Joe Potchanard Chauvapun by the Centers for Medicare & Medicaid Services?
The Joe Potchanard Chauvapun has been issued the NPI (National Provider Identifier) 1487842597. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Joe Potchanard Chauvapun is geographically located?
The Joe Potchanard Chauvapun is physically situated at the following location: 15030 7Th St, Victorville, CA, 923953811.
What is Joe Potchanard Chauvapun's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Joe Potchanard Chauvapun is Vascular Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0129X.
On what date was the 1487842597 assigned to Joe Potchanard Chauvapun?
The Joe Potchanard Chauvapun was issued its 1487842597 on 2007-10-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Joe Potchanard Chauvapun most recently updated or refreshed?
The details pertaining to the Joe Potchanard Chauvapun, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-01-17.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA