Individual
LEOR SURILOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6401 POPLAR AVE STE 610, MEMPHIS, TN 38119-4806
(901) 227-5045
(901) 227-5043
Mailing address
6025 WALNUT GROVE RD STE 201, MEMPHIS, TN 38120-2122
(901) 226-4264
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
TN
Other
Enumeration date
06/23/2023
Last updated
05/08/2024
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