JONATHAN K SONG

PEORIA, AZ
NPI1902260227
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: AZ  009208)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: AZ  009208)
Enumeration Date2016-04-12
Last Update Date2025-03-21
Business Address
JONATHAN K SONG D.O.
13943 N 91ST AVE BLDG E
PEORIA, AZ 85381-3629
Phone number: 602-262-8917
Mailing Address
JONATHAN K SONG D.O.
645 E MISSOURI AVE STE 300
PHOENIX, AZ 85012-1351
Phone number: 602-262-8917