Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Miran Joelle Song, MD

Individual provider Pediatrics Physician · NPI 1366415846

Dr. Miran Joelle Song, MD is a Pediatrics Physician in Flagstaff, Arizona. Works from 2 locations. Licensed in Arizona and Massachusetts.

Licensed in
AZ, MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2920 N 4th St
Flagstaff, AZ 86004-1816
Phone: (928) 522-9400
Fax: (928) 774-4808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 167 North Main Street, Tuba City, AZ 86045-0600 — (928) 283-2501

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 49275 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence 161302 (MA)

Record details

NPI number1366415846
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

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