Dr Suwan Phanijphand, MD | |
2011 N Westwood Blvd, Poplar Bluff, MO 63901 | |
(573) 785-7791 | |
(573) 785-8784 |
Full Name | Dr Suwan Phanijphand |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 2011 N Westwood Blvd, Poplar Bluff, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588721534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 35189 (Missouri) | Primary |
Mailing Address | Practice Location Address |
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Dr Suwan Phanijphand, MD Po Box 4145, Poplar Bluff, MO 63902 Ph: (573) 785-7791 | Dr Suwan Phanijphand, MD 2011 N Westwood Blvd, Poplar Bluff, MO 63901 Ph: (573) 785-7791 |
Dr. Alexandros Georgolios, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-778-2600 | |
Carl Eugene Bosley, D.O. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2503 Lucy Lee Pkwy, Poplar Bluff, MO 63901 Phone: 573-785-5544 Fax: 573-785-4672 |