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Individual

DR. BRIAN W CHONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11750 W 2ND PL STE 255, LAKEWOOD, CO 80228-1726
(720) 321-8040
(720) 321-8041
Mailing address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
33277
AZ
2085R0202X
Diagnostic Radiology Physician
50685
CA
2085R0202X
Diagnostic Radiology Physician
63044
MN
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0071780
CO
2085R0202X
Diagnostic Radiology Physician
MD00039655
WA
2085R0204X
Vascular & Interventional Radiology Physician
33277
AZ
2085R0204X
Vascular & Interventional Radiology Physician
DR.0071780
CO

Other

Enumeration date
11/30/2005
Last updated
10/31/2023
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