Organization
JAEHA SONG DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAEHA NMN SONG DPM (PODIATRIST)
(801) 915-6855
Entity
Organization
Contact information
Practice address
6633 E MORNINGSIDE DR, PHOENIX, AZ 85054-6733
(801) 915-6855
Mailing address
6633 E MORNINGSIDE DR, PHOENIX, AZ 85054-6733
(801) 915-6855
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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