Philo S Su in Jefferson City - Gynecology

Philo S Su - NPI 1689666174

Philo S Su is a Gynecology in Jefferson City, Missouri. Philo S Su practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Philo S Su is 1689666174. The last update date is 2007-07-09.

Philo S Su's current location address is 2712 Plaza Dr, Jefferson City, Missouri. You can contact this provider via phone number 5738935500. The mailing address for Philo S Su is 2712 Plaza Dr, Jefferson City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Philo S Su
Address 2712 Plaza Dr, Jefferson City, Missouri
Phone Number 5738935500
Fax Number
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1689666174
Provider Enumeration Date 2005-08-19
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 2712 Plaza Dr
City Jefferson City
State Missouri (MO)
Post Code 651091147
Phone Number 5738935500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Gynecology
Taxonomy 207Vg0400X
Licence No R5960
Definition:
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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FAQs about Philo S Su

What is the Philo S Su's unique identification number?

The Philo S Su has been assigned the NPI (National Provider Identifier) Number 1689666174 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Philo S Su's facilities are geographically located?

The facilities of Philo S Su are physically situated at the following location: 2712 Plaza Dr, Jefferson City, MO, 651091147.

What is Philo S Su's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Philo S Su is Gynecology, and the taxonomy classification code that categorizes this area of expertise is 207Vg0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1689666174 to Philo S Su?

The Philo S Su received its 1689666174 assignment from the Centers for Medicare & Medicaid Services on 2005-08-19.

When was the information pertaining to Philo S Su most recently updated or revised?

The details related to Philo S Su, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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