Organization
C L SOO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHENG-LUN SOO M.D. (OWNER)
(405) 255-0309
Entity
Organization
Contact information
Practice address
1044 SW 44TH ST, SUITE 600, OKLAHOMA CITY, OK 73109-3613
(405) 631-4263
(405) 631-1767
Mailing address
3705 W MEMORIAL RD, SUITE 302, OKLAHOMA CITY, OK 73134-1512
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
21124
OK
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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