Individual
DR. SUSAN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
60 S KYRENE RD, #1, CHANDLER, AZ 85226-4685
(480) 785-8700
(480) 785-8787
Mailing address
6301 S MCCLINTOCK DR, #101, TEMPE, AZ 85283-3392
(480) 214-2300
(480) 214-2301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30500
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00014245
BANNER HEALTH PLAN
—
01
—
1Z65553
HEALTHNET
—
01
—
713439
AHCCCS
AZ
01
—
7134390
DES
—
01
—
713439001
APIPA
—
01
—
AZ0719840
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/21/2006
Last updated
10/03/2012
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