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Xiao Song, MD
Student in an Organized Health Care Education/Training Program in Pueblo, Colorado
NPI 1699392449

Xiao Song is a Student in an Organized Health Care Education/Training Program based in Pueblo, CO. Xiao Song practices in Pueblo, CO and has the professional credentials of MD. The NPI Number for Xiao Song is 1699392449 and holds a License No. TL.0009580 (Colorado).

The current practice location address for Xiao Song is 311 W 14Th St, Pueblo, CO and can be reached out via phone at 719-595-7585.

Location: 311 W 14Th St, Pueblo, CO, 81003-2781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699392449
Provider Name
Xiao Song
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
311 W 14Th St, Pueblo, CO, 81003-2781
Phone Number
719-595-7585
Fax Number
Provider Enumeration Date
06/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
311 W 14Th St
City
Pueblo
State
Colorado
Zip
81003-2705
Phone Number
719-595-7585
Fax Number
person
Provider Business Mailing Address Details
Address
311 W 14Th St
City
Pueblo
State
Colorado
Zip
81003-2705
Phone Number
719-595-7585
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
TL.0009580 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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