VIRACH ANANTACHAI MD PC

LOUP CITY, NE
NPI1013011766
Entity TypeOrganization
Authorized ContactVIRACH ANANTACHAI
President
308-745-0514
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NE  13217)
Enumeration Date2006-09-12
Last Update Date2008-04-20
Business Address
VIRACH ANANTACHAI MD PC
130 N 6TH STREET
LOUP CITY, NE 68853-0527
Phone number: 308-745-0514
Mailing Address
VIRACH ANANTACHAI MD PC
PO BOX 527 130 N 6TH STREET
LOUP CITY, NE 68853-0527
Phone number: 308-745-0514
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