Individual
EDWIN FRANCISCO SUAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
116 E 11TH ST STE 101, SPENCER, IA 51301-4365
(712) 264-3500
Mailing address
116 E 11TH ST STE 101, SPENCER, IA 51301-4365
(712) 264-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/22/2019
Last updated
07/10/2019
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