Individual
DR. SUWAN PHANIJPHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2011 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901
(573) 785-7791
(573) 785-8784
Mailing address
PO BOX 4145, POPLAR BLUFF, MO 63902
(573) 785-7791
(573) 785-8784
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35189
MO
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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