Individual
DR. CHEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
424 S 56TH ST STE 110, PHOENIX, AZ 85034-2177
(602) 685-5211
(480) 478-8091
Mailing address
4909 N GLEN PARK PLACE RD, PEORIA, IL 61614-4676
(309) 674-7546
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
036-114610
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
59198
AZ
Other
Enumeration date
02/27/2006
Last updated
07/05/2023
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