Individual
DR. HYUN-SUK CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15640 N 28TH DR, PHOENIX, AZ 85053-4059
(602) 439-9000
(602) 978-5233
Mailing address
15640 N 28TH DR, PHOENIX, AZ 85053-4059
(602) 439-9000
(602) 978-5233
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
32903
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
860911876
TAX ID#
AZ
05
—
865412
—
AZ
01
—
AZ0761080
BCBS
AZ
01
—
P00167538
RAILROAD MEDICARE
AZ
Enumeration date
08/30/2005
Last updated
08/30/2016
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