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Individual

DR. CHANSAMORN MORN NOUANSAVANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6100 MASSARD RD, FORT SMITH, AR 72916-8886
(479) 709-7250
(479) 709-7251
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(479) 709-7250
(479) 709-7251

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-6210
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
440144301
AR
Enumeration date
09/26/2006
Last updated
04/09/2026
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