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1588721534
SUWAN PHANIJPHAND
POPLAR BLUFF, MO
NPI
1588721534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: MO 35189)
Enumeration Date
2007-01-02
Last Update Date
2007-07-08
Business Address
Dr. SUWAN PHANIJPHAND MD
2011 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Phone number: 573-785-7791
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Mailing Address
Dr. SUWAN PHANIJPHAND MD
PO BOX 4145
POPLAR BLUFF, MO 63902
Phone number: 573-785-7791
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