Organization
SUZANNE SUNDHEIM MD PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE T SUNDHEIM MD (MANAGER)
(303) 786-7430
Entity
Organization
Contact information
Practice address
2501 WALNUT ST, SUITE 106, BOULDER, CO 80302-5751
(303) 786-7430
(303) 443-4682
Mailing address
2501 WALNUT ST STE 106, BOULDER, CO 80302-5752
(303) 786-7430
(303) 443-4682
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33134
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-331347
—
CO
01
—
33134
STATE LICENSE
CO
Enumeration date
08/09/2006
Last updated
03/07/2023
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