Individual
JEFFREY CHANG
Active
Individual
JEFFREY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP001560
DC
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA200001836
DC
Other
Enumeration date
04/03/2019
Last updated
01/03/2024
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