DERRICK SOONG

ISSAQUAH, WA
NPI1275946519
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: WA  MD60777389)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-06-04
Last Update Date2017-12-13
Business Address
DERRICK SOONG
100 NE GILMAN BLVD
ISSAQUAH, WA 98027-2925
Phone number: 425-557-8000
Mailing Address
DERRICK SOONG
100 NE GILMAN BLVD
ISSAQUAH, WA 98027-2925
Phone number: 425-557-8000