VENKATA SURYA PHANI BHUSHAN DURVASULA

EL DORADO, AR
NPI1770861478
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: AR  E-7645)
Enumeration Date2011-07-28
Last Update Date2022-09-21
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
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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