OPHAS VONGXAIBURANA

Dr OPHAS VONGXAIBURANA is a male medical professional, specializing in General Surgery. He graduated in 1967.

Contact

201 E 5TH AVE
RANSON
WV
254381678

Tel:

OPHAS VONGXAIBURANA Information

Npi 1689765042
Pac Id 7315063450
Professional Enrollment Id I20100927001021
Last Name VONGXAIBURANA
First Name OPHAS
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1967
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 201 E 5TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City RANSON
State WV
Zip Code 254381678
Phone Number
Hospital Affiliation Ccn 1 511319
Hospital Affiliation Lbn 1 JEFFERSON MEDICAL CENTER
Hospital Affiliation Ccn 2 510008
Hospital Affiliation Lbn 2 BERKELEY MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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