Dr. Miran Joelle Song
MD | Pediatrics | Female
Dr. Miran Joelle Song, MD is a Flagstaff, Arizona based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Miran Joelle Song is
2920 N 4th St, Flagstaff, Arizona - 86004-1816. She can be contacted on phone at
928-522-9400 and fax number 928-774-4808.
Dr. Miran Joelle Song is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Miran Joelle Song is
1366415846 which was assigned by NPPES on 07 Feb, 2006 and it was last updated on 22 Mar, 2021.
Dr. Miran Joelle Song license number is
49275 for Pediatrics (208000000X) in Arizona.
Dr. Miran Joelle Song is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Miran Joelle Song basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Miran Joelle Song |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Miran Joelle Song address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2920 N 4th St
Flagstaff, AZ, 86004-1816
United States |
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| Phone Number : | 928-522-9400 |
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| Fax Number : | 928-774-4808 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366415846 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Feb, 2006 |
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| Last Updated On : | 22 Mar, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Miran Joelle Song are as mentioned. Primary taxonomy code for Dr. Miran Joelle Song, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 161302 | MA |
| 208000000X | Pediatrics | Yes | 49275 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Miran Joelle Song such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 060012 | MEDICAID | AZ | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
167 NORTH MAIN STREET, TCRHCC
TUBA CITY, AZ, 86045-0600
United States | TUBA CITY, AZ | 928-283-2501 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 3630
Flagstaff, AZ, 86003-3630
United States |
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| Phone Number : | 928-522-9400 |
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| Fax Number : | 928-774-4808 |
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Business Location:
Patients can refer following map for directions to
Dr. Miran Joelle Song practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.