Individual
THEODORE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5328 NORTHSHORE CV, NORTH LITTLE ROCK, AR 72118-5332
(501) 225-4001
(501) 225-1401
Mailing address
4850 NORTHSHORE LN, NORTH LITTLE ROCK, AR 72118
(501) 225-1400
(501) 225-1401
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01077334A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-39110
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
144598
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2016-01125
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2016034437
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
24453
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA10139500
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
28459
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
304516
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
52411
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
76955
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D79534
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E-9787
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
M-13573
ID
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME130294
FL
Other
Enumeration date
06/22/2011
Last updated
11/03/2021
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