Brian Soongyong Ju, M.D.

Surgery Physician · Mesa, AZ

Individual Active NPI

NPI number 1194780262

Practice location

4135 S Power Rd Ste 117
Mesa, AZ 85212-3625
Phone
(480) 892-2456
Fax
(480) 892-2458

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NPI record

NPI
1194780262
Entity type
Individual (Type 1)
Enumeration date
April 19, 2006
Last updated
July 21, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 33676 AZ

About Dr. Ju

Brian Soongyong Ju, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 4135 S Power Rd Ste 117, Mesa, AZ 85212-3625. The NPI number 1194780262 was assigned on April 19, 2006 and the record was last updated on July 21, 2022.

Dr. Ju lists a license in the registry: #33676 (AZ) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Soongyong Ju, M.D.?

The NPI number is 1194780262.

What is the phone number of Dr. Ju?

The phone number listed for the practice location is (480) 892-2456.

Where is Dr. Ju located?

4135 S Power Rd Ste 117, Mesa, AZ 85212-3625.

What is the taxonomy code for Dr. Ju?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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