Provider Demographics
NPI:1578780391
Name:FLORES-ZEPEDA, SUZANNE RODRIGUEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:RODRIGUEZ
Last Name:FLORES-ZEPEDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 POPLAR LN
Mailing Address - Street 2:UPPER LEVEL
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-8969
Mailing Address - Country:US
Mailing Address - Phone:724-439-4800
Mailing Address - Fax:
Practice Address - Street 1:30 POPLAR LN
Practice Address - Street 2:UPPER LEVEL
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8969
Practice Address - Country:US
Practice Address - Phone:724-439-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD440443207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine