Individual
DR. SUSAN T KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8626 LOWER SACRAMENTO RD STE 41, STOCKTON, CA 95210-1835
(209) 478-2487
Mailing address
4107 STONE EDGE CT, SUGAR LAND, TX 77479-2434
(415) 672-2669
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
A87500
CA
208D00000X
General Practice Physician
TPME766
FL
Other
Enumeration date
06/08/2017
Last updated
07/23/2025
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