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Bounyaveth Phachomphon
NPI 1477413011 · on the registry since 2025
Practice
- Address
- 320 Broadmoor Dr
South Sioux City, NE 68776 - Phone
- (402) 508-0009
Registry record
- Primary taxonomy
- 372500000X
372500000X
- Sex
- Male
- Record last updated
- 2025-11-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska