Organization
ROGER L. SUR, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER LU SUR M.D. (PRESIDENT)
(619) 694-0817
Entity
Organization
Contact information
Practice address
8851 CENTER DRIVE, SUITE #501, LA MESA, CA 91942-3058
(619) 697-2456
(619) 697-2494
Mailing address
8851 CENTER DRIVE, SUITE #501, LA MESA, CA 91942-3058
(619) 697-2456
(619) 697-2494
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G80585
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932208022
NPI TYPE 1
—
01
—
I16457
UPIN
—
Enumeration date
04/25/2008
Last updated
04/14/2009
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