NPI 1447728720

Song Professional Services , PLLC

Organisation Electrodiagnostic Medicine Physician Las Vegas, NV

Practice location

Address: 9811 W Charleston Blvd # 2-641, Las Vegas, NV 89117-7528
Phone: (800) 310-7334
Mailing address: Pob 29650 DPT: 880423, Phoenix, AZ 85038-9650

Authorised official

Name: Michael H Song
Title: Sole Member
Phone: (448) 868-1971

Registered specialties

Electrodiagnostic Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204R00000X

Other Electrodiagnostic Medicine providers in Nevada →

Registry record

NPI: 1447728720
Entity type: Organization
NPI issued: 5 Nov 2018
Record last updated: 19 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.