Individual provider · Type 1 NPI
Vanchai Vongchanyakul, PA
Medical Physician Assistant · Healdton, OK
NPI number
1790736932
Active
Practice location
3462 Hospital Rd
Healdton, OK 73438-6124
Fax (580) 229-1454
Mailing address
530 N Monte Vista St, Suite A
Ada, OK 74820-4675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA847 (OK) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Mercy Hospital Healdton, IncCritical Access Hospital Healdton, OK NPI 1568615656
- Mercy Hospital Healdton, Inc.Medicare Defined Swing Bed Hospital Unit Healdton, OK NPI 1376790147
- Mercy Hospital Healdton, Inc.Critical Access Hospital Healdton, OK NPI 1578710406
- McKotah Brice Smith, PAPhysician Assistant Healdton, OK NPI 1508508409
About NPI 1790736932
Vanchai Vongchanyakul, PA's National Provider Identifier is 1790736932, issued on May 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Healdton, OK. The record was last updated on Nov 20, 2014.