Individual
ALLAN M SOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 W GUADALUPE RD, STE NPPES, MESA, AZ 85202-9101
(480) 775-6038
Mailing address
1265 W GUADALUPE RD, STE NPPES, MESA, AZ 85202-9101
(480) 775-6038
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20313
AZ
207Q00000X
Family Medicine Physician
Primary
20313
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
20313
AZ
2083X0100X
Occupational Medicine Physician
20313
AZ
Other
Enumeration date
01/18/2006
Last updated
09/18/2012
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