Individual
DR. MICHAEL LANDRON SOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2609 N DUKE ST, SUITE 604, DURHAM, NC 27704-3048
(919) 220-1881
(919) 220-1991
Mailing address
2609 N DUKE ST, SUITE 604, DURHAM, NC 27704-3048
(919) 220-1881
(919) 220-1991
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0239F
BCBS
NC
01
—
130022134
RAILROAD MEDICARE
NC
01
—
562160642
ALL OTHERS
NC
05
—
8978444
—
NC
Enumeration date
11/03/2005
Last updated
11/19/2009
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