Zheng Song PA-C

NPI 1053735340 - Physician Assistant - 363AM0700X

NPI Details
NPI 1053735340
Gender Male
Enumeration Date 02/07/2014
Last Updated 05/06/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
1600 NORTH MAIN
LOVINGTON NM, 88260-2813, US
Phone (575) 396-6611
Fax (575) 396-1454
Business Location
1600 NORTH MAIN
LOVINGTON NM, 88260-2813, US
Phone (575) 396-6611
Fax (575) 396-1454
Toxanomy
Taxonomy Code 363AM0700X
License State Pennsylvania
License Number MA056701
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According to our database, Zheng Song PA-C NPI is 1053735340, taxonomy code is 363AM0700X and license number is MA056701, license state is located at Pennsylvania. Zheng Song PA-C physically located at 1600 North Main, Lovington NM, 88260-2813. NPI Number Zheng Song PA-C has the Individual type.

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1053735340 NPI number is provided on an as is basis without warranty of any kind. 1053735340 is maintained by the National Plan & Provider Enumeration System. The contents of Zheng Song PA-C are for informational purposes only.