DR. Suwan Phanijphand, MD

NPI #1588721534 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1588721534
Entity Type: Individual
Name: DR. Suwan Phanijphand, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: Jan 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2011 N WESTWOOD BLVD
City: Poplar Bluff
State: Missouri
ZIP Code: 63901
Phone: (573) 785-7791

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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