Organization
MICHAEL H SONG MD LTD
Active
Other names
Advanced Neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H SONG M.D. (MD/PRESIDENT)
(775) 323-6100
Entity
Organization
Contact information
Practice address
10791 DOUBLE R BLVD, RENO, NV 89521-8956
(775) 323-6100
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 323-6100
(775) 323-6118
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
10771
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6345810002
DME
NV
Enumeration date
04/06/2010
Last updated
06/29/2023
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