Individual
JAEMIN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(702) 961-5000
Mailing address
10713 BALSAM CREEK AVE, LAS VEGAS, NV 89144-4411
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27235
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2022
Last updated
07/02/2025
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