Individual
DR. GWEN Y SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 HERMOSA DR SE, ALBUQUERQUE, NM 87108-2611
(505) 232-0176
Mailing address
1220 MARQUETTE PL NE, ALBUQUERQUE, NM 87106-4742
(505) 344-3472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
90-306
NM
2083X0100X
Occupational Medicine Physician
Primary
90-306
NM
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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