Individual
CHIA-WAI DAVID CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
812 N KEENE ST, COLUMBIA, MO 65201-6633
(573) 817-3000
(573) 876-6950
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 817-3000
(573) 875-6950
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2005023723
MO
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
2005023723
MO
Other
Enumeration date
05/02/2006
Last updated
10/05/2022
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