BRIAN PHOLVICHITR

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1528749900

Practice Address

3001 SAINT JOHNS BLVD
Joplin, MO 64804

Phone: (417) 208-0805

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1528749900 is the National Provider Identifier for BRIAN PHOLVICHITR, a Student in an Organized Health Care Education/Training Program provider located in Joplin, MO. This NPI was enumerated on July 27, 2023.
BRIAN PHOLVICHITR practices at 3001 SAINT JOHNS BLVD, Joplin, MO 64804.

Quick Facts

NPI
1528749900
Type
Individual
Enumerated
Jul 27, 2023
Last Updated
Jul 27, 2023

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