Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | G65699 | CA |
NPI | 1619950516 |
---|---|
Provider Name | Dr. Suzanne Teuber |
First Address | Davis, CA 95616-8660 |
Second Address | Davis, CA 95616-8660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/11/2005 |
Last Update Date | 04/04/2008 |