Myung Ae Song is a General Practice Physician based in Nampa, ID. Myung Ae Song practices in Boise, ID and has the professional credentials of DO,MBA. The NPI Number for Myung Ae Song is 1922130541 and holds a License No. O-322 (Idaho).
The current practice location address for Myung Ae Song is 8950 W Emerald St, Boise, ID and can be reached out via phone at 208-901-5144.
Identifier | Type | State | Issuer |
---|---|---|---|
CS-10302 | 01 | ID | IDAHO CONTROLLED SUBSTANC |
H06991 | 01 | ID | UPIN # |
O-322 | 01 | ID | IDAHO MEDICAL LICENSE |
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