# DR. TAIIL TED SONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1669532842
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | OP00002163 | WA | Yes |
| 207KA0200X | Allergy Physician | OP00002163 | WA | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | E-2006 | AR | — |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 09/14/2021