Organization
TAE J SONG DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAE J SONG DPM (PRESIDENT)
(530) 244-0674
Entity
Organization
Contact information
Practice address
1310 CONTINENTAL ST, REDDING, CA 96001-0839
(530) 244-0674
(530) 244-1033
Mailing address
1310 CONTINENTAL ST, REDDING, CA 96001-0839
(530) 244-0674
(530) 244-1033
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4771
CA
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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