Individual
DERRICK SOONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 NE GILMAN BLVD, ISSAQUAH, WA 98027-2925
(425) 557-8000
(425) 557-8014
Mailing address
100 NE GILMAN BLVD, ISSAQUAH, WA 98027-2925
(425) 557-8000
(425) 557-8014
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60777389
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2014
Last updated
12/13/2017
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