Individual
YOUNG MIN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2450 E RIVER RD, TUCSON, AZ 85718-6522
(520) 795-7750
(520) 320-2155
Mailing address
2450 E RIVER RD, TUCSON, AZ 85718-6522
(520) 795-7750
(529) 320-2155
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
43281
AZ
2084N0600X
Clinical Neurophysiology Physician
43281
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43281
AZ MEDICAL BOARD
AZ
05
—
523941
—
AZ
01
—
A105993
MEDICAL BOARD
CA
Enumeration date
09/11/2007
Last updated
04/15/2011
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