Chanchai Tivitmahaisoon is a Surgery Physician based in Logan, WV. Chanchai Tivitmahaisoon practices in Logan, WV and has the professional credentials of MD. The NPI Number for Chanchai Tivitmahaisoon is 1508820549 and holds a License No. 11491 (West Virginia).
The current practice location address for Chanchai Tivitmahaisoon is 20 Hospital Dr, Logan, WV and can be reached out via phone at 304-831-1254 and via fax at 304-831-1679. You can also correspond with Chanchai Tivitmahaisoon through the mailing address at 20 HOSPITAL DR, LOGAN, WV - 25601-3452 (mailing address contact number: 304-831-1254).
Identifier | Type | State | Issuer |
---|---|---|---|
0127820000 | 05 | WV |
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