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NPI Code Detail

MEDICARE: XIAO SONG MD

MEDICARE: XIAO SONG 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 PhysicianDR.0074407CO

General Provider Information

NPI Number : 1699392449
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIAO SONG MD
Provider Business Mailing Address
First Line : 724 N 5TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-2612
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1905 SHERMAN ST
Second Line : STE 200 #1761
City : DENVER
State : CO
Zip : 80203-1132
Country : US
Telephone Number : 720-683-0389
Fax Number : 970-704-5617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2020
Last Update Date : 12/23/2025

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Directions to “ XIAO SONG MD” Practice Location

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