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NPI Code Detail

MEDICARE: DR. ADAM GLEN SONGER MD

MEDICARE: DR. ADAM GLEN SONGER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianP1820TX
2207R00000XInternal Medicine PhysicianP1820TX
3207R00000XInternal Medicine Physician01088388AIN

General Provider Information

NPI Number : 1255642419
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM GLEN SONGER MD
Provider Business Mailing Address
First Line : 800 W 9TH ST
Second Line :
City : JASPER
State : IN
Zip : 47546-2516
Country : US
Telephone Number : 812-996-8584
Fax Number : 812-996-8497
Provider Business Practice Location Address
First Line : 800 W 9TH ST
Second Line :
City : JASPER
State : IN
Zip : 47546-2516
Country : US
Telephone Number : 812-996-8584
Fax Number : 812-996-8497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2010
Last Update Date : 08/18/2022

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Directions to “ DR. ADAM GLEN SONGER MD” Practice Location

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