| Myung Ae Song, DO, MBA | |
|
8950 W Emerald St, Ste 168, Boise, ID 83704-8296 | |
| (208) 901-5144 | |
| Not Available |
| Full Name | Myung Ae Song |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 8950 W Emerald St, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922130541 | NPI | - | NPPES |
| CS-10302 | Other | ID | IDAHO CONTROLLED SUBSTANC |
| H06991 | Other | ID | UPIN # |
| O-322 | Other | ID | IDAHO MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | O-322 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Myung Ae Song, DO, MBA 12706 Deer Ridge Trl, Nampa, ID 83686-7806 Ph: (208) 901-5144 | Myung Ae Song, DO, MBA 8950 W Emerald St, Ste 168, Boise, ID 83704-8296 Ph: (208) 901-5144 |
Dr. James Hunter Schrader, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, St. Luke's Internal Medicine, Boise, ID 83712 Phone: 208-647-3159 | |
Dr. Kirk A. Campana, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 4750 N Five Mile Rd, Boise, ID 83713 Phone: 208-375-0500 Fax: 208-375-4310 | |
Dr. Wilbur Allen Rader, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 115 W Main St, Suite 101, Boise, ID 83702 Phone: 208-343-3652 Fax: 208-367-9188 | |
Aurelia Nelson, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1910 University Dr, Ms 1351, Boise, ID 83725 Phone: 208-426-1459 Fax: 208-426-3005 | |
J Thomas Ahlquist, MD General Practice Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Dr. Michelle Mae Freshwater, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 115 W Main St, Suite 101, Boise, ID 83702 Phone: 208-343-3652 Fax: 208-367-9188 | |
Lindsey Wells, NP-C General Practice Medicare: Not Enrolled in Medicare Practice Location: 2537 W State St Ste 110, Boise, ID 83702 Phone: 208-495-6555 Fax: 208-369-9273 |