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Individual

JOHN H SUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35479
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
280000886
RAILROAD MEDICARE PIN
CO
05
C1354794
CO
Enumeration date
05/08/2006
Last updated
06/26/2009
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