Individual
ERIC NEIL SUBONG
Active
Individual
ERIC NEIL SUBONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD0000041069
TN
207W00000X
Ophthalmology Physician
Primary
MD00049354
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211497
UNISON
—
05
—
07552818
—
MS
05
—
163826001
—
AR
05
—
3815478
—
TN
01
—
40561
TLC
—
01
—
4134344
BCBS TN
—
01
—
4900217
CIGNA
—
01
—
7360889
AETNA
—
01
—
84231
BCBS AR
—
Enumeration date
06/14/2006
Last updated
11/22/2017
Update your record
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