Individual
DR. JAMES ANTHONY SUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELEWARE, SPECIALTIES CLINIC, LONGVIEW, WA 98632
(360) 414-2000
Mailing address
1615 DELEWARE, SPECIALTIES CLINIC, LONGVIEW, WA 98632
(360) 414-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00032872
WA
207RC0000X
Cardiovascular Disease Physician
MD163521
OR
207RI0011X
Interventional Cardiology Physician
MD00032872
WA
207RI0011X
Interventional Cardiology Physician
MD163521
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280774
STATE L&I
WA
01
—
0280791
STATE L&I
WA
01
—
0280792
STATE L&I
WA
05
—
8371031
—
WA
Enumeration date
04/04/2006
Last updated
08/28/2013
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