Individual
DEREK KONG-JYUE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSPH
Contact information
Practice address
30 NORTH MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84132-8509
(801) 581-7899
Mailing address
30 N MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84132-8509
(801) 581-7899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14244573-1205
UT
207R00000X
Internal Medicine Physician
R80180
AZ
Other
Enumeration date
03/31/2023
Last updated
10/29/2025
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