DAVID SONG KO

WALLA WALLA, WA
NPI1356720049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  op61443176)
Additional Taxonomies207Q00000X Family Medicine
(Licence: VA  0102205469)
Enumeration Date2015-05-27
Last Update Date2024-08-14
Business Address
Dr. DAVID SONG KO DO
55 W TIETAN ST
WALLA WALLA, WA 99362-4445
Phone number: 540-825-6263
Mailing Address
Dr. DAVID SONG KO DO
55 W TIETAN ST
WALLA WALLA, WA 99362-4445
Phone number: