Individual
NICHOLAS SOUSARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4881 SUGAR MAPLE DR BLDG 830, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-0837
Mailing address
4881 SUGAR MAPLE DR BLDG 830, WRIGHT PATTERSON AFB, OH 45433-5529
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01082210A
IN
Other
Enumeration date
05/02/2014
Last updated
07/23/2019
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