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Organization
JONATHAN SONG
Active
Organization
JONATHAN SONG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SONG DO (OWNER)
(480) 360-2039
Entity
Organization
Contact information
Practice address
9630 E SHEA BLVD # AZ, SCOTTSDALE, AZ 85260-6267
(480) 360-2039
(909) 265-9445
Mailing address
106 W OSBORN RD # 1133, PHOENIX, AZ 85013-3909
(480) 360-2039
(909) 265-9445
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
08/27/2025
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