Chansamorn Morn Nouansavane MD

NPI 1811098403 - Family Medicine - 207Q00000X

NPI Details
NPI 1811098403
Gender Male
Enumeration Date 09/26/2006
Last Updated 09/03/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
14 GOEHIC RIDGE RD
CORNERSTONE FAMILY MEDICAL
VAN BUREN AR, 72956, US
Phone (479) 474-1100
Fax (479) 471-5407
Business Location
506 RENA RD
VAN BUREN AR, 72956-6401, US
Phone (479) 474-3929
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Arkansas
License Number E-6210
Remove 1811098403 NPI Number
 

According to our database, Dr. Chansamorn Morn Nouansavane MD NPI is 1811098403, taxonomy code is 207Q00000X and license number is E-6210, license state is located at Arkansas. Chansamorn Morn Nouansavane MD physically located at 14 Goehic Ridge Rd, Van Buren AR, 72956. NPI Number Chansamorn Morn Nouansavane MD has the Individual type.

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1811098403 NPI number is provided on an as is basis without warranty of any kind. 1811098403 is maintained by the National Plan & Provider Enumeration System. The contents of Chansamorn Morn Nouansavane MD are for informational purposes only.