Individual
SUMATHY VANNARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
Mailing address
1014 W 17TH ST, CLAREMORE, OK 74017-2609
(918) 342-6200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11538
OK
Other
Enumeration date
10/12/2006
Last updated
07/21/2022
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