Local City Search for Surgeons and Surgical Clinics SUDHEER J. SURPURE MD, DDS
Surgery Yellow Pages
Phoenix, Arizona
Provider NPI: 1235216185
Provider Information:SUDHEER J. SURPURE MD, DDS
Practice Location:
4202 N 32ND ST SUITE #A PHOENIX, AZ 85018 US
Tel: 602-957-0332 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 204E00000X | Physicians Oral & Maxillofacial Surgery | AZ | 41157 |
| Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | CA | A92044 |
| N | 1223S0112X | Dental Providers Dentist | CA | OMS 89 |
| N | 1223S0112X | Dental Providers Dentist | OK | OMFS SPECIALTY 157 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00A920440 | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
