Doctor Name: | DR. MICHAEL LEE SONGER |
NPI Number: | 1326242009 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C42388 |
Business Practice Address: | Wasco State Prison 701 Scofield Ave. Wasco, CA - 932808800 |
Business Phone Number: | 6617588400 |
Business Fax Number: | 6617587088 |
Mailing Address: | 13320 Pergola Ave, BAKERSFIELD |
State: | CA |
Postal Code: | 933148508 |
Phone Number: | 6615880761 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | C42388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |