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Individual

DR. ANDREW SINGTIONG SOO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
26136 PACIFIC HWY S, KENT, WA 98032
(253) 941-0887
(253) 941-4642
Mailing address
26136 PACIFIC HWY S, KENT, WA 98032
(253) 941-0887
(253) 941-4642

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO619
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0151953
DEPT OF LABOR & INDUSTRIE
WA
05
1110352
WA
01
2805645
AETNA PROVIDER NUMBER
WA
01
5242672
AETNA PROVIDER NUMBER
WA
01
5372SO
REGENCE RIDER NUMBER
WA
01
607647300
USPS WORKERS COMP
WA
01
8903622
CRIME VICTIM COMP
WA
01
912000607
FED TAX ID
WA
01
91200060798032A003
TRICARE
WA
Enumeration date
03/14/2006
Last updated
02/16/2017
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