MEDICARE: JUSTIN CHANG, M.D., P.C.

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1689343774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUSTIN CHANG, M.D., P.C.

Provider Business Mailing Address
First Line	:	3513 BRIGHTON BLVD STE 230
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216-3606
Country	:	US
Telephone Number	:	303-653-7720
Fax Number	:

Provider Business Practice Location Address
First Line	:	3513 BRIGHTON BLVD STE 230
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80216-3606
Country	:	US
Telephone Number	:	303-653-7720
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JUSTIN CHANG
Credential	:	MD
Telephone Number	:	303-653-7720

Provider Enumeration Date	:	09/10/2021
Last Update Date	:	05/16/2024

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