Individual
RUI WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6051 W PARK AVE, CHANDLER, AZ 85226-1190
(602) 714-1725
Mailing address
6051 W PARK AVE, CHANDLER, AZ 85226-1190
(602) 714-1725
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-243
THE AMERICAN BOARD OF SURGICAL ASSISTANT
—
Enumeration date
10/14/2014
Last updated
10/14/2014
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