Individual
DR. JEREMY JOHN SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6630 S MCCARRAN BLVD STE 202, RENO, NV 89509-6186
(775) 525-9151
Mailing address
6630 S MCCARRAN BLVD STE 202, RENO, NV 89509-6186
(775) 525-9151
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
27196
NV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME143653
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106741100
—
FL
Enumeration date
03/28/2014
Last updated
06/19/2025
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