Individual
DR. JONATHAN CHRISTIAN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
370 E VIRGINIA AVE, SUITE 100, PHOENIX, AZ 85004-1214
(602) 258-4788
(602) 258-5131
Mailing address
370 E VIRGINIA AVE, 100, PHOENIX, AZ 85004-1214
(602) 258-4788
(602) 258-5131
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
47406
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
47406
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810168
—
AZ
Enumeration date
07/06/2007
Last updated
07/21/2022
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