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Individual

MCQUEEN SUEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7166
(928) 674-7705
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7166
(928) 674-7705

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
812
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
812
STATE LICENSE
AZ
Enumeration date
07/16/2015
Last updated
07/16/2015
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