Individual
PING SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-2781
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD61119552
WA
2086S0122X
Plastic and Reconstructive Surgery Physician
MD61119552
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255708731
—
WA
Enumeration date
08/31/2015
Last updated
05/05/2021
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