NPI 1376552695

Suphong Techathuvanan, MD

Practitioner Surgery Physician Claremore, OK

Practice location

Address: 101 S Moore Ave, Claremore, OK 74017-5047
Phone: (918) 342-6200
Fax: (918) 342-6610
Mailing address: 9645 E Clover Creek Dr, Claremore, OK 74017-1489

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 30243 (NC)

Other Surgery providers in Oklahoma →

Registry record

NPI: 1376552695
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.