Individual
DR. JOHN CHIN WAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 WEST BROADWAY, WEST MEMPHIS, AR 72301
(870) 735-8246
(870) 735-0481
Mailing address
230 WEST BROADWAY, WEST MEMPHIS, AR 72301
(870) 735-8246
(870) 735-0481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6133
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114933001
—
AR
Enumeration date
02/27/2006
Last updated
10/13/2010
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