Organization
BRANSON ONCOLOGY CLINIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAIROTE JAROONWANICHKUL M.D. (ORGANIZER OF BRANSON ONCOLOGY CLINI)
(417) 339-5500
Entity
Organization
Contact information
Practice address
545 BRANSON LANDING BOULEVARD., SUITE 404, BRANSON, MO 65616
(417) 339-5500
(417) 339-5505
Mailing address
545 BRANSON LANDING BLVD., SUITE 404, BRANSON, MO 65616
(417) 339-5500
(417) 339-5505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
102149
MO
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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