Doctor Name: | DR. ADAM GLEN SONGER |
NPI Number: | 1255642419 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | P1820 |
Business Practice Address: | 350 Crag Rd Panama City, FL - 324077013 |
Business Phone Number: | 8502355218 |
Business Fax Number: | 8502355993 |
Mailing Address: | 350 Crag Rd, PANAMA CITY |
State: | FL |
Postal Code: | 324077013 |
Phone Number: | 8502355218 |
Fax Number: | 8502355993 |
NPI Enumeration Date: | 06/23/2010 |
NPI Last Update Date: | 08/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | P1820 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |