Individual
YORCKAY CHANG ISHIZAWAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 TEMPLE AVE, COLONIAL HEIGHTS, VA 23834-2827
(804) 526-0107
(804) 526-4466
Mailing address
12504 NIGHTINGALE DR, CHESTER, VA 23836-2600
(804) 530-3712
(804) 530-3712
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101031281
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7382111
—
VA
Enumeration date
05/08/2006
Last updated
07/09/2007
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