Organization
SONG OBGYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD SONG MD (PHYSICIAN)
(253) 581-4696
Entity
Organization
Contact information
Practice address
11311 BRIDGEPORT WAY SW, #302, LAKEWOOD, WA 98499
(253) 581-4696
(253) 581-9001
Mailing address
11311 BRIDGEPORT WAY SW, #302, LAKEWOOD, WA 98499
(253) 581-4696
(253) 581-9001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00026796
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302116
—
WA
01
—
50D0866316
CLIA
WA
Enumeration date
11/16/2006
Last updated
03/13/2008
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