Individual
WALTER J SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
12661
NV
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
12661
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12661
ORTHOPAEDIC SURGERY - HAND
NV
05
—
1669652996
—
NV
Enumeration date
11/03/2007
Last updated
09/17/2019
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