Individual
JASON C WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-4240
(515) 247-4239
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 247-4240
(515) 247-4239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-11950
IA
208M00000X
Hospitalist Physician
Primary
DO-06445
IA
Other
Enumeration date
06/08/2020
Last updated
02/07/2024
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