| NPI | 1720223837 |
|---|---|
| Doing Business As | PROCTOR MEDICAL GROUP SURGERY - C K SONG MD |
| Entity Type | Organization |
| Authorized Contact | DENISE BRINKER System Analyst 390-689-6089 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |