MEDICARE: DR. WOOKJIN CHUN M.D.

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	35822	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689688699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WOOKJIN CHUN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	480-455-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	9590 E IRONWOOD SQUARE DR STE 125
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4583
Country	:	US
Telephone Number	:	480-455-3000
Fax Number	:	866-819-6115

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	03/28/2022

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Directions to “ DR. WOOKJIN CHUN M.D.” Practice Location

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