Individual
DR. ELIZABETH LYNN SUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2825 FORT MISSOULA RD STE 301, MISSOULA, MT 59804-7403
(406) 830-3125
Mailing address
2825 FORT MISSOULA RD STE 301, MISSOULA, MT 59804-7403
(406) 830-3125
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10065
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000092306
BCBS OF MT
MT
05
—
0153578
—
MT
Enumeration date
12/18/2006
Last updated
09/30/2010
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