Antonius Su DPM

NPI 1891783775 - Podiatrist - 213E00000X

NPI Details
NPI 1891783775
Gender Male
Enumeration Date 10/13/2005
Last Updated 08/08/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
595 N DOBSON RD
SUITE D-71
CHANDLER AZ, 85224-4226, US
Phone (480) 963-9000
Fax (480) 963-0375
Business Location
595 N DOBSON RD
SUITE D-71
CHANDLER AZ, 85224-4226, US
Phone (480) 963-9000
Fax (480) 963-0375
Toxanomy
Taxonomy Code 213E00000X
License State Arizona
License Number 0496
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According to our database, Antonius Su DPM NPI is 1891783775, taxonomy code is 213E00000X and license number is 0496, license state is located at Arizona. Antonius Su DPM physically located at 595 N Dobson Rd, Chandler AZ, 85224-4226. NPI Number Antonius Su DPM has the Individual type.

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1891783775 NPI number is provided on an as is basis without warranty of any kind. 1891783775 is maintained by the National Plan & Provider Enumeration System. The contents of Antonius Su DPM are for informational purposes only.