Individual
DR. DANIEL L SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
436 TED STEVENS WAY, MANIILAQ HEALTH CENTER, KOTZEBUE, AK 99752
(907) 442-7148
(907) 442-7306
Mailing address
250 H ST # 909, BLAINE, WA 98230-4018
(360) 223-9354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00038293
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8254518
—
WA
Enumeration date
02/19/2007
Last updated
12/08/2009
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