Individual
DR. JOHN YOHAN JOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1130 N 185TH ST, SUITE 200, SHORELINE, WA 98133-4011
(206) 542-5323
(206) 542-5353
Mailing address
1130 N 185TH ST, SUITE 200, SHORELINE, WA 98133-4011
(206) 542-5323
(206) 542-5353
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
PO 00000700
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 00000700
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1115773
—
WA
01
—
1121144
DSHS
WA
01
—
1295934438
GROUP NPI #
WA
01
—
5311450001
DMEPOS
WA
Enumeration date
06/16/2005
Last updated
03/27/2012
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