Doctor Name: | DR. ANTHONY SURUDA |
NPI Number: | 1215105093 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 28363 |
Business Practice Address: | 969 Reese Street Silverton, CO - 814330850 |
Business Phone Number: | 9705960566 |
Business Fax Number: | |
Mailing Address: | Po Box 850, SILVERTON |
State: | CO |
Postal Code: | 814330850 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | 28363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |