Individual
JASON J CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3336 E CHANDLER HEIGHTS RD, BLDG. 1, SUITE 101, GILBERT, AZ 85298-4259
(480) 412-5900
(480) 890-2997
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
(602) 495-4577
(602) 417-3549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33528
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045032
—
AZ
Enumeration date
03/25/2006
Last updated
12/05/2011
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