Individual
MR. DAR JEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 501-3601
(360) 501-3648
Mailing address
2670 E PACIFIC CT, BREA, CA 92821-9104
(909) 203-8439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60716595
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2014
Last updated
10/21/2019
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