Individual
EMILY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-2850
(712) 243-7423
Mailing address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-2850
(712) 243-7423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
193400000X
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
4160
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003011560
—
IA
Enumeration date
06/15/2007
Last updated
11/27/2019
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