Sean Phong-quoc Su MD

NPI 1760597405 - Family Medicine - 207Q00000X

NPI Details
NPI 1760597405
Gender Male
Enumeration Date 08/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2451 PROFESSIONAL CT STE 110
LAS VEGAS NV, 89128-0827, US
Phone (702) 240-4242
Fax
Business Location
2451 PROFESSIONAL CT STE 110
LAS VEGAS NV, 89128-0827, US
Phone (702) 240-4242
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Nevada
License Number 9013
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According to our database, Sean Phong-quoc Su MD NPI is 1760597405, taxonomy code is 207Q00000X and license number is 9013, license state is located at Nevada. Sean Phong-quoc Su MD physically located at 2451 Professional Ct Ste 110, Las Vegas NV, 89128-0827. NPI Number Sean Phong-quoc Su MD has the Individual type.

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1760597405 NPI number is provided on an as is basis without warranty of any kind. 1760597405 is maintained by the National Plan & Provider Enumeration System. The contents of Sean Phong-quoc Su MD are for informational purposes only.