Organization
JONATHAN C. CHANG, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN CHANG M.D. (OWNER)
(719) 505-9113
Entity
Organization
Contact information
Practice address
212 WASHINGTON ST, SUITE F, MONUMENT, CO 80132-9173
(719) 505-9113
(888) 939-4319
Mailing address
PO BOX 2922, MONUMENT, CO 80132-2922
(719) 505-9113
(888) 939-4319
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
50799
CO
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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