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Ambrose K Su, DPM
Foot & Ankle Surgery Podiatrist in Bend, Oregon
NPI 1588649297

Ambrose K Su is a Foot & Ankle Surgery Podiatrist based in Bend, OR and is specialized in Foot & Ankle Surgery. Ambrose K Su practices in Bend, OR and has the professional credentials of DPM. The NPI Number for Ambrose K Su is 1588649297 and holds a License No. DPOO159 (Oregon).

The current practice location address for Ambrose K Su is 2408 Ne Division St, Bend, OR and can be reached out via phone at 541-388-2861 and via fax at 541-382-6297.

Location: 2408 Ne Division St, Bend, OR, 97701-3543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588649297
Provider Name
Ambrose K Su
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2408 Ne Division St, Bend, OR, 97701-3543
Phone Number
541-388-2861
Fax Number
541-382-6297
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
024734001 01 OR BLUE CROSS
480031260 01 OR RR MEDICARE
13578 01 OR CLEAR CHOICE HEALTH PLANS
214619 05 OR
institution
Provider Business Practice Location Address Details
Address
2408 Ne Division St
City
Bend
State
Oregon
Zip
97701-3543
Phone Number
541-388-2861
Fax Number
541-382-6297
person
Provider Business Mailing Address Details
Address
2408 Ne Division St
City
Bend
State
Oregon
Zip
97701-3543
Phone Number
541-388-2861
Fax Number
541-382-6297
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
DP00159 (Oregon)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Sports Medicine
Taxonomy
213ES0000X
License No.
DP00159 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
DP00159 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
DPOO159 (Oregon)
Definition
Definition to come...
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