Individual
DAZHONG SUN
Active
Individual
DAZHONG SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2005024758
MO
207RC0000X
Cardiovascular Disease Physician
Primary
91168
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205901030
—
MO
01
—
P00853581
MEDICARE RAILROAD
MO
01
—
P01100630
RAILROAD MEDICARE
MO
Enumeration date
11/20/2006
Last updated
07/01/2022
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