Leor Surilov

NPI #1659057818 in Memphis, Tennessee

Provider Information

NPI Number: 1659057818
Entity Type: Individual
Name: Leor Surilov
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Jun 23, 2023
Last Updated: May 8, 2024

Practice Location

Address: 6401 POPLAR AVE STE 610
City: Memphis
State: Tennessee
ZIP Code: 38119-4806
Phone: (901) 227-5045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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