Organization
LOUBERT S SUDDABY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN L WHIPPLE (OFFICE MANAGER)
(716) 667-1980
Entity
Organization
Contact information
Practice address
3775 SOUTHWESTERN BLVD, SUITE A, ORCHARD PARK, NY 14127-2159
(716) 667-1980
(716) 667-1982
Mailing address
3775 SOUTHWESTERN BLVD, SUITE A, ORCHARD PARK, NY 14127-2159
(716) 667-1980
(716) 667-1982
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
193722
NY
Other
Enumeration date
01/29/2008
Last updated
11/08/2016
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