Individual
DR. SOUNGWON BAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9348 E RITA RD STE 100, TUCSON, AZ 85747-6313
(520) 324-4760
(520) 324-4759
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-4100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3706
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
633207
—
AZ
Enumeration date
08/18/2005
Last updated
06/13/2024
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