Jimmy Song, PA-C

NPI #1689400848 in Lone Tree, Colorado

Provider Information

NPI Number: 1689400848
Entity Type: Individual
Name: Jimmy Song, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 12, 2024
Last Updated: Sep 12, 2024

Practice Location

Address: 10535 PARK MEADOWS BLVD STE 301
City: Lone Tree
State: Colorado
ZIP Code: 80124-8456
Phone: (303) 662-8250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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