Individual provider · Type 1 NPI

Myung Ae Song, DO, M.B.A.

General Practice Physician · Boise, ID

NPI number 1922130541 Active

Practice location

8950 W Emerald St, Ste 168
Boise, ID 83704-8296

Call (208) 901-5144 Map

Mailing address

12706 Deer Ridge Trl
Nampa, ID 83686-7806

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XO-322 (ID)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

8 other providers at this address

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About NPI 1922130541

Myung Ae Song, DO, M.B.A.'s National Provider Identifier is 1922130541, issued on Mar 9, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Boise, ID. The record was last updated on Mar 7, 2023.