Myung Ae Song, D.O. , M.B.A.

NPI #1922130541 in Boise, Idaho

Provider Information

NPI Number: 1922130541
Entity Type: Individual
Name: Myung Ae Song, D.O. , M.B.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: D.O. , M.B.A.
Enumeration Date: Mar 9, 2007
Last Updated: Mar 7, 2023

Practice Location

Address: 8950 W EMERALD ST
Address 2: STE 168
City: Boise
State: Idaho
ZIP Code: 83704-8296
Phone: (208) 901-5144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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