SONG PAK DVM
NPI 1780303396
Public Health or Welfare in Apo, AE

Active since August 25, 2022
BLDG 912, B CAD AVE, APO, AE 09824(314) 676-5953 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Public Health or Welfare

About SONG PAK

This page provides the complete NPI Profile along with additional information for Song Pak, a provider established in Apo, with a medical specialization in Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1780303396 assigned on August 2022. The practitioner's primary taxonomy code is 251K00000X with license number 6901400727 (MI). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1780303396 Verify this NPI
Provider Name
SONG PAK DVM
Gender
Male
Entity Type
Individual
Location Address
BLDG 912 B CAD AVE APO, AE 09824
Location Phone
(314) 676-5953
Mailing Address
PSC 94 BOX 521 APO, AE 09824
Mailing Phone
(517) 918-0047
Is Sole Proprietor?
Yes
Enumeration Date
08-25-2022
Last Update Date
08-25-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies
License No.
6901400727
License State
MI

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780303396, enumerated as an "individual" on August 25, 2022.

The provider is located at BLDG 912 B CAD AVE APO, AE 09824 and the phone number is (314) 676-5953.

Public Health or Welfare with taxonomy code 251K00000X.