Individual
ALICE SOOJUNG HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C179275
CA
2085R0202X
Diagnostic Radiology Physician
MD60074878
WA
2085R0202X
Diagnostic Radiology Physician
MT182757
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0249386
LABOR & INDUSTRIES
WA
Enumeration date
01/09/2007
Last updated
09/06/2022
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