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Organization
COLBY WANG, MD, LLC
Active
Organization
COLBY WANG, MD, LLC
Active
Other names
Preventative Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
COLBY L WANG (MD)
(417) 886-6067
Entity
Organization
Contact information
Practice address
636 W REPUBLIC RD, B-112, SPRINGFIELD, MO 65807-5818
(417) 886-6067
Mailing address
636 W REPUBLIC RD, B-112, SPRINGFIELD, MO 65807-5818
(417) 886-6067
(417) 886-4035
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
2001009509
MO
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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