Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 40680 | IA |
NPI | 1023268646 |
---|---|
Provider Name | David Solomon De Guzman Chua |
First Address | Sioux City, IA 51101-1415 |
Second Address | Sioux City, IA 51101-1415 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2008 |
Last Update Date | 06/01/2015 |