Individual
AUSTIN SUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 DOYLE PARK DR STE G04, SANTA ROSA, CA 95405
(707) 573-8984
Mailing address
500 DOYLE PARK DR STE G04, SANTA ROSA, CA 95405-4559
(707) 573-8984
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
A133427
CA
Other
Enumeration date
06/11/2012
Last updated
11/10/2021
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