Individual
DR. JINMING SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9406 E 63RD ST, RAYTOWN, MO 64133-4904
(816) 404-8029
Mailing address
9406 E 63RD ST, RAYTOWN, MO 64133-4904
(816) 404-8029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009019571
MO
Other
Enumeration date
08/31/2006
Last updated
07/16/2009
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