Individual
DR. SUSANA MYUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 639-5588
(928) 639-5589
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35425
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145483
—
AZ
Enumeration date
06/16/2006
Last updated
12/14/2015
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