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1770861478
VENKATA SURYA PHANI BHUSHAN DURVASULA
EL DORADO, AR
NPI
1770861478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: AR E-7645)
Enumeration Date
2011-07-28
Last Update Date
2022-09-21
Business Address
Dr. VENKATA SURYA PHANI BHUSHAN DURVASULA M.D.
403 W OAK ST STE 105
EL DORADO, AR 71730-4573
Phone number: 870-639-8105
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Mailing Address
Dr. VENKATA SURYA PHANI BHUSHAN DURVASULA M.D.
403 W OAK ST STE 105
EL DORADO, AR 71730-4573
Phone number: 870-639-8105
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