Individual
EUNJOO CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 W THOMAS RD 6NST, PHOENIX, AZ 85013
(602) 406-3000
Mailing address
350 W THOMAS RD 6NST, PHOENIX, AZ 85013
(602) 406-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61025141
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
298549
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212565
—
AZ
Enumeration date
03/25/2010
Last updated
01/13/2024
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