Individual
DR. VICTOR PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
561 MEDICAL DRIVE, CLARKSDALE, MS 38614
(662) 627-5256
Mailing address
561 MEDICAL DRIVE, CLARKSDALE, MS 38614
(662) 627-5256
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
10725
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115413
—
MS
Enumeration date
09/14/2006
Last updated
07/08/2007
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