SUPHONG TECHATHUVANAN

CLAREMORE, OK
NPI1376552695
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: NC  30243)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
Dr. SUPHONG TECHATHUVANAN md
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-342-6200
Mailing Address
Dr. SUPHONG TECHATHUVANAN md
9645 E CLOVER CREEK DR
CLAREMORE, OK 74017-1489
Phone number: 918-342-6200
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