Individual
TEDDY SI YOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 W THOMAS RD # 400, PHOENIX, AZ 85013-4407
(602) 406-6262
(602) 406-6261
Mailing address
240 W THOMAS RD # 400, PHOENIX, AZ 85013-4407
(602) 406-6262
(602) 406-6261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ML60093624
WA
2084N0400X
Neurology Physician
Primary
58461
AZ
2084N0400X
Neurology Physician
ME130279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019236100
—
FL
Enumeration date
07/23/2009
Last updated
11/04/2019
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