MR. Richard Suphan

NPI #1104344829 in Oswego, New York

Provider Information

NPI Number
1104344829
Entity Type
Individual
Name
MR. Richard Suphan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Sep 1, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
159 W 1ST ST
City
Oswego
ZIP Code
13126-2045
Phone
(315) 342-9575

Specialties & Taxonomy Codes

Specialty
Specialist

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