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Organization

CHRISTOPHER L. SUREK, D.O. APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER LEE SUREK D.O. (OWNER)
(225) 658-1960
Entity
Organization

Contact information

Practice address
6110 MAIN ST, SUITE D, ZACHARY, LA 70791-4033
(225) 658-1960
(225) 658-1920
Mailing address
6110 MAIN ST, SUITE D, ZACHARY, LA 70791-4033
(225) 658-1960
(225) 658-1920

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
DO000011
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1336119858
INDIVIDUAL NPI
LA
05
1625965
LA
01
1750581880
GROUP NPI
LA
Enumeration date
07/18/2007
Last updated
07/20/2007
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