Bae, Soungwon
Bae, Soungwon is an individual health care provider with primary practice located at 1620 W Commerce Ct , Tucson AZ 85746-6005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bae, Soungwon can be contacted via phone (520) 293-6686.Contact Information
Primary practice address
1620 W Commerce Ct
Tucson AZ 85746-6005
Phone: (520) 293-6686
Fax: (520) 887-1736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 3706 | Arizona |
Profile Details
| NPI number | 1922090513 |
|---|---|
| LBN Legal business name | Bae, Soungwon |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Aug 8th, 2026 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922090513 | NPPES |
| Arizona | MEDICAID | 633207 |
Popular Providers
-
Blount, Jennifer
5861 N Oracle Rd , Tucson AZ 85704-3813 -
Baser-Decker, Tracy
1925 W Orange Grove Rd Ste 302 , Tucson AZ 85704-1152 -
Sachrison, Beth T
1925 W Orange Grove Rd Ste 302 , Tucson AZ 85704-1152 -
Davis, Frank S.
5861 N Oracle Rd , Tucson AZ 85704-3813 -
Adams, Cecilia
320 W Prince Rd , Tucson AZ 85705-3526 -
Kurtzman, Tracey Lynn
320 W Prince Rd , Tucson AZ 85705-3526 -
Hull, Gretchen
1628 N Alvernon Way , Tucson AZ 85712-3321 -
Radomsky, Scott Thomas
105 S Houghton Rd Ste 101 , Tucson AZ 85748-6732