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Individual

GREGORY PAUL SUCHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
947 SO FIFTH ST, MONTROSE, CO 81401-5716
(970) 249-2421
(970) 249-8897
Mailing address
947 SO FIFTH ST, MONTROSE, CO 81401-5716
(970) 249-2421
(970) 249-8897

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0116016848
VA
208000000X
Pediatrics Physician
Primary
46544
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
24231851
CO
Enumeration date
05/18/2007
Last updated
04/25/2012
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