# PHYLLIS CHANG, M.D., PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083780266
- **Authorized official:** DR. PHYLLIS CHANG M.D. (MEMBER)
- **Authorized official phone:** (319) 358-8788

## Contact information

- **Practice address:** 604 5TH ST, CORALVILLE, IA 52241-2304
- **Practice address phone:** (319) 358-8788
- **Practice address fax:** (319) 351-9278
- **Mailing address:** 604 5TH ST, PO BOX 5036, CORALVILLE, IA 52241-2304
- **Mailing address phone:** (319) 358-8788
- **Mailing address fax:** (319) 351-9278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | 26997 | IA | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/22/2020