Individual
DR. JONATHAN NICHOLAS CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 SPRINGHILL DR # 130, NORTH LITTLE ROCK, AR 72117-2910
(501) 955-2741
(501) 955-4558
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 812-7215
(501) 812-7215
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E11203
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E11203
ARKANSAS STATE MEDICAL BOARD
AR
Enumeration date
04/14/2014
Last updated
06/09/2021
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