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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACE SONG, P.A.

Active

GRACE SONG, P.A. is a Physician Assistant healthcare provider located in BASALT, Colorado. NPI 1710136395 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BASALT, CO

Registration Details

NPI Number
1710136395
Provider Type
Individual
Gender
Female
NPI Issued
Sep 18, 2008 (17.867242764752 yrs)
Last Updated
Oct 4, 2013

Practice Information

Address
1450 E VALLEY RD
SUITE 201
BASALT, CO, 816218304
Browse CO providers · Browse ZIP 81621
Phone
9709278611
Fax
9709278633
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BASALT, CO

Name Credential NPI
RACHAEL K WYMER PA 1780853085
TRACIE E WALTERSCHEID PA 1225397672
NATASHA ELLWOOD PA 1205265774
MISS ASHLEY DAWN FITZPATRICK PA 1265831341
SARAH DAVIS PA-C 1154703965
CARLY ANN STILLMAN PA-C 1891207775
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.