NPI 1104206812
Christopher 0 Prompuntagorn, MD
Practice location
- Address
- 1400 E Kincaid St, Mount Vernon, WA 98274-4127
- Phone
- (360) 428-2575
- Fax
- (360) 428-6471
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1104206812
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 8 Jun 2015
- Record last updated
- 1 Jul 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.