Individual
WILLIE C SUHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 MOORSIDE DR, GLENDALE, CA 91207-1136
(818) 507-7882
(818) 246-7387
Mailing address
PO BOX 9060, GLENDALE, CA 91226-0060
(818) 507-7882
(818) 246-7387
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A21044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A210440
—
CA
Enumeration date
08/03/2006
Last updated
07/08/2007
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