Individual
EDDIE P. SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
73 BELBROOK WAY, ATHERTON, CA 94027-6405
(650) 561-9410
Mailing address
73 BELBROOK WAY, ATHERTON, CA 94027-6405
(650) 561-9410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G32466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G324660
—
CA
Enumeration date
11/01/2006
Last updated
06/30/2009
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