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NPI Code Detail

MEDICARE: BRIAN CHANG D.O.

MEDICARE: BRIAN CHANG D.O.
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
1207R00000XInternal Medicine PhysicianDO1750NV
2208M00000XHospitalist PhysicianDO1750NV

General Provider Information

NPI Number : 1982925715
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN CHANG D.O.
Provider Business Mailing Address
First Line : PO BOX 33269
Second Line :
City : PHOENIX
State : AZ
Zip : 85067-3269
Country : US
Telephone Number : 602-406-4786
Fax Number : 916-636-5358
Provider Business Practice Location Address
First Line : 8280 W WARM SPRINGS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3612
Country : US
Telephone Number : 702-620-7828
Fax Number : 702-399-8431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2010
Last Update Date : 10/30/2024

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Directions to “ BRIAN CHANG D.O.” Practice Location

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