Phoutthasone Thirakul
Phoutthasone Thirakul is an Anatomic Pathology & Clinical Pathology Physician in Bradenton, Florida. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
3325 49th Ave EBradenton, FL 34203-3945
Phone: (323) 839-7364
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Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence A125018 (CA) |
|---|
Record details
| NPI number | 1760800460 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 1, 2014 |
| Last updated in NPPES | May 26, 2026 |
| Certification date | May 26, 2026 |
| Mailing address | 3325 49th Ave E, Bradenton, FL 34203-3945 |
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