CRAIG RICHARD SODERQUIST

PHILADELPHIA, PA
NPI1083908008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: PA  MT200240)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  MT200240)
Enumeration Date2011-06-07
Last Update Date2011-06-07
Business Address
-- CRAIG RICHARD SODERQUIST MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-6494
Mailing Address
-- CRAIG RICHARD SODERQUIST MD
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4206
Phone number: 215-662-6494