Individual
DR. PHILIP SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 DELTA FAIR BLVD, ANTIOCH, CA 94509-4004
(925) 817-5600
Mailing address
3400 DELTA FAIR BLVD, ANTIOCH, CA 94509-4004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A161047
CA
Other
Enumeration date
12/08/2008
Last updated
12/17/2021
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