Individual
SHOZO KURUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1313 QUARRIER ST, CHARLESTON, WV 25301-6002
(304) 792-6275
Mailing address
PO BOX 4245, CHARLESTON, WV 25364-4245
(304) 926-6352
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11498
WV
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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