Whalio Doctors

NPI 1467424416

Rangsan Suvan, MD

Practitioner Pediatrics Physician Poplar Bluff, MO

Practice location

Address
2500 Lucy Lee Parkway, Poplar Bluff, MO 63901
Phone
(573) 686-2585
Fax
(573) 686-4415

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence R5641 (MO)

Registry record

NPI
1467424416
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Feb 2006
Record last updated
23 Jun 2008

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.