Individual
YO-JUN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 352-4121
Mailing address
6150 W 24TH ST, GREELEY, CO 80634-8946
(970) 330-9522
(970) 330-3950
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26309
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01263094
—
CO
Enumeration date
05/17/2006
Last updated
12/08/2009
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