Individual
BRIAN JAMES WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
13001 E 17TH PL FL 2, AURORA, CO 80045-2570
(720) 848-3000
(720) 848-3015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0006148
CO
Other
Enumeration date
03/17/2020
Last updated
07/23/2021
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