ANDREW S SOO, DPM, Surgery, Foot & Ankle KENT, WA

Contact Information

ANDREW S SOO, DPM

26136 PACIFIC HWY S
KENT, WA 98032

Phone: 253-941-0887
Fax: 253-941-4642
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ANDREW S SOO · (Male)

NPI #	`1932178993`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	03/14/2006
Last updated	02/16/2017 - About 9 years ago
Sole proprietor ¹	Yes
Identifiers	WA License # PO619 WA Medicaid 1110352 WA Other 2805645 AETNA PROVIDER NUMBER WA Other 5242672 AETNA PROVIDER NUMBER WA Other 8903622 CRIME VICTIM COMP WA Other 0151953 DEPT OF LABOR & INDUSTRIE WA Other 912000607 FED TAX ID WA Other 5372SO REGENCE RIDER NUMBER WA Other 91200060798032A003 TRICARE WA Other 607647300 USPS WORKERS COMP
Hospital affiliation(s)	TACOMA GENERAL ALLENMORE HOSPITAL - (Acute Care) 315 S MLK JR WAY TACOMA, WA 98415

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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ANDREW S SOO, DPM – NPI #1932178993Surgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ANDREW S SOO · (Male)

Reviews for ANDREW S SOO

ANDREW S SOO, DPM – NPI #1932178993
Surgery, Foot & Ankle