Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMBROSE K SU, DPM
ActiveAMBROSE K SU, DPM is a Foot Surgery Podiatrist healthcare provider located in BEND, Oregon. NPI 1588649297 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · BEND, OR
Registration Details
- NPI Number
- 1588649297
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2005 (20.68961330158 yrs)
- Last Updated
- Jan 16, 2013
- Licenses
-
DPOO159 (OR)DP00159 (OR)DP00159 (OR)DP00159 (OR)DP00159 (OR)
Practice Information
- Address
-
2408 NE DIVISION STBEND, OR, 977013543Browse OR providers · Browse ZIP 97701
- Phone
- 5413882861
- Fax
- 5413826297
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
- Additional Specialty
- Podiatrist
- Additional Specialty
- Sports Medicine Podiatrist
- Additional Specialty
- Foot Surgery Podiatrist
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.