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NPI Code Detail

MEDICARE: BILL F JIANG

MEDICARE:   BILL F JIANG
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1578392676
Entity Type Code : Individual
Provider Name (Legal Business Name) : BILL F JIANG
Provider Business Mailing Address
First Line : 4878 S LAILY CT
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84117-5738
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4878 S LAILY CT
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84117-5738
Country : US
Telephone Number : 801-946-1959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2024
Last Update Date : 07/29/2024

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Directions to “ BILL F JIANG ” Practice Location

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