DR. Bounsavath Nola, MD

NPI #1356336515 in Wichita, Kansas

Provider Information

NPI Number: 1356336515
Entity Type: Individual
Name: DR. Bounsavath Nola, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Sep 14, 2005
Last Updated: Apr 19, 2018

Practice Location

Address: 1431 S BLUFFVIEW DR STE 116
City: Wichita
State: Kansas
ZIP Code: 67218-3039
Phone: (316) 689-6004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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