Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 37122 | IA |
N | 208600000X | Surgeon | 37122 | IA |
N | 208200000X | Surgeon | 42742 | WI |
N | 208600000X | Surgeon | 42742 | WI |
Y | 2086X0206X | Surgical Oncologist | 37122 | IA |
NPI | 1396799276 |
---|---|
Provider Name | Dr. Sonia L Sugg |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 01/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009000315G | HUMANA (01) | |
01051 | WELLMARK BCBS (01) | IA |
0765057 | (05) | IA |
34016100 | (05) | WI |
G64722 | (02) |