Individual
SOPHIA M CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD-45729
IA
207W00000X
Ophthalmology Physician
R3N93
MO
207WX0109X
Neuro-ophthalmology Physician
MD-45729
IA
Other
Enumeration date
07/20/2006
Last updated
01/16/2020
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