Individual
ROGER D SUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4110 BRIARGATE PKWY, SUITE 300, COLORADO SPRINGS, CO 80920-7835
(719) 632-7669
(719) 632-0088
Mailing address
4110 BRIARGATE PKWY, SUITE 300, COLORADO SPRINGS, CO 80920-7835
(719) 632-7669
(719) 632-0088
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
CO38614
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
CO38614
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200040553
RR MEDICARE
CO
05
—
57955034
—
CO
Enumeration date
05/23/2006
Last updated
05/15/2014
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