Individual
DR. STEPHANIE B SOOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1625 N GEORGE MASON DR, PATHOLOGY DEPT, ARLINGTON, VA 22205-3683
(502) 456-7075
(502) 456-4440
Mailing address
PO BOX 7308, ARLINGTON, VA 22207-0308
(800) 292-1387
(502) 456-4440
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
0101222257
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101222257
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006604811
—
VA
05
—
028799100
—
DC
01
—
1022-0005
CAREFIRST BLUE CROSS BS
DC
01
—
11-00277
UNITED HEALTHCARE
—
01
—
1305167
UNITED MINE WORKERS
—
01
—
16699
GEORGE WASHINGTON UNIV
—
01
—
220028329
RAILROAD MEDICARE
—
01
—
279438
MDIPA
—
01
—
451401
ANTHEM BLUE CROSS BS
VA
01
—
490050CG71296
SECTION 1011 MEDICARE
VA
01
—
506848
NATIONAL CAPITAL PPO
—
01
—
94046
BLUE CROSS BLUE SHIELD
NY
01
—
96-246-5316
WORKERS COMP DC
DC
05
—
Q22257
—
SC
Enumeration date
07/08/2006
Last updated
01/13/2017
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