Individual
DR. RICHARD SUKHEE JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
410 FAIRGROUNDS RD, TIPTON, IN 46072-9596
(317) 962-0857
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02006070A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11019534A
IN
Other
Enumeration date
06/21/2017
Last updated
11/23/2020
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