Individual
SHUANG SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1120 SHACKELFORD RD, FLORISSANT, MO 63031-4369
(314) 921-4420
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
2018005679
MO
Other
Enumeration date
06/26/2013
Last updated
02/07/2023
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