VANCHAI VONGCHANYAKUL

HEALDTON, OK
NPI1790736932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  PA847)
Enumeration Date2006-05-12
Last Update Date2014-11-20
Business Address
-- VANCHAI VONGCHANYAKUL PA
3462 HOSPITAL RD
HEALDTON, OK 73438-6124
Phone number: 580-229-0701
Mailing Address
-- VANCHAI VONGCHANYAKUL PA
530 N MONTE VISTA ST SUITE A
ADA, OK 74820-4675
Phone number: 580-436-7101
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