Individual
JON B WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6320 N. LA CHOLLA BLVD #200, TUCSON, AZ 85741-3549
(520) 382-8200
(520) 297-3505
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6249
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9942
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
9942
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204917
—
AZ
Enumeration date
08/04/2005
Last updated
01/05/2012
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