Individual
WENDY SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2474 E HUNT HWY, SUITE 10, SAN TAN VALLEY, AZ 85143-5210
(480) 543-6680
(480) 543-5908
Mailing address
2474 E HUNT HWY, SUITE 10, SAN TAN VALLEY, AZ 85143-5210
(480) 543-6680
(480) 543-5908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006834
AZ
Other
Enumeration date
06/28/2013
Last updated
04/23/2017
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