Individual
DR. OPHAS VONGXAIBURANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 E 5TH AVE, RANSON, WV 25438-1613
(304) 725-9794
(304) 728-4794
Mailing address
201 E 5TH AVE, RANSON, WV 25438-1613
(304) 725-9794
(304) 728-4794
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10256
WV
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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