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Individual

DR. SURESH JAIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
716 SPRING AVENUE SE, WISE, VA 24293
(276) 328-6415
Mailing address
165 DOTSON AVE, WISE, VA 24293-6901
(276) 328-3149
(276) 523-7028

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101023285
VA

Other

Enumeration date
05/16/2006
Last updated
07/08/2007
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