AMBROSE SU, DPM
Podiatrist - Foot Surgery
Active
Individual
NPI: 1588649297
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | No | DP00159 (OR) |
| Podiatrist - Sports Medicine | 213ES0000X | No | DP00159 (OR) |
| Podiatrist - Foot Surgery | 213ES0131X | Yes | DP00159 (OR) |
| Podiatrist - Foot & Ankle Surgery | 213ES0103X | No | DP00159 (OR) |
Frequently Asked Questions
NPI 1588649297 is the National Provider Identifier for AMBROSE SU, DPM, a Podiatrist - Foot Surgery provider located in Bend, OR. This NPI was enumerated on December 14, 2005.
AMBROSE SU, DPM practices at 2408 NE DIVISION ST, Bend, OR 97701.
Quick Facts
- NPI
- 1588649297
- Type
- Individual
- Enumerated
- Dec 14, 2005
- Last Updated
- Jan 16, 2013
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