Individual
DR. KWOKBUN B SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 E ARIZONA BILTMORE CIR, #116, PHOENIX, AZ 85016-2146
(602) 381-0318
(602) 381-0236
Mailing address
2525 E ARIZONA BILTMORE CIR, #116, PHOENIX, AZ 85016-2146
(602) 381-0318
(602) 381-0236
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
14388
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071520
BLUE CROSS ID#
AZ
Enumeration date
01/03/2007
Last updated
10/15/2007
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