Individual
DR. THONGKHAM VANNARATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2404 NW 23RD ST, OKLAHOMA CITY, OK 73107-2408
(405) 521-0001
Mailing address
2404 NW 23RD ST, OKLAHOMA CITY, OK 73107-2408
(405) 521-0001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3485
OK
Other
Enumeration date
01/09/2008
Last updated
04/29/2008
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