Individual
SOEN BOEN LIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E SPRUCE ST, RADIOLOGY DEPT ST CATHERINE HOSPITAL, GARDEN CITY, KS 67846-5679
(620) 272-2271
Mailing address
4777 US HIGHWAY 259, LONGVIEW, TX 75605-7668
(903) 663-4800
(903) 663-0378
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0424283
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100149100C
—
KS
Enumeration date
05/30/2006
Last updated
06/08/2012
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