Organization
CHILDREN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANGSAN SUVAN M.D. (OWNER/PHYSICIAN)
(573) 686-2585
Entity
Organization
Contact information
Practice address
2500 LUCY LEE PKWY, POPLAR BLUFF, MO 63901-2436
(573) 686-2585
Mailing address
2500 LUCY LEE PKWY, POPLAR BLUFF, MO 63901-2436
(573) 686-2585
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131252002
ARKANSAS GROUP MEDICAID
AR
Enumeration date
06/24/2008
Last updated
06/24/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us