Provider Demographics
NPI:1649329319
Name:SOHN, VANCE (MD)
Entity type:Individual
Prefix:DR
First Name:VANCE
Middle Name:
Last Name:SOHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-0001
Mailing Address - Country:US
Mailing Address - Phone:253-968-2200
Mailing Address - Fax:
Practice Address - Street 1:MURTHA CANCER CENTER
Practice Address - Street 2:4494 PALMER RD N,
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-0001
Practice Address - Country:US
Practice Address - Phone:012-952-1833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00046959208600000X
NE23634208D00000X
VA0101273227208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice