Individual
MICHAEL SUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
6051 W SWEETWATER AVE, GLENDALE, AZ 85304-1112
(623) 486-6409
(623) 486-6424
Mailing address
6051 W SWEETWATER AVE, GLENDALE, AZ 85304-1112
(623) 486-6409
(623) 486-6424
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0814
AZ
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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