NPI 1023609062

Sudheer J Surpure MD DDS INC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Flagstaff, AZ

Practice location

Address: 1600 W University Ave STE 101, Flagstaff, AZ 86001-3154
Phone: (928) 247-6200
Mailing address: 1600 W Sunset Rd STE B, Henderson, NV 89014-2655

Authorised official

Name: Sudheer Surpure
Title: President
Phone: (615) 480-5534

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

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Registry record

NPI: 1023609062
Entity type: Organization
NPI issued: 2 Feb 2021
Record last updated: 8 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.