Individual
PING Y WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13640 N PLAZA DEL RIO BLVD, STE 310, PEORIA, AZ 85381-4846
(623) 876-3910
(623) 876-6953
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 972-9590
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25546
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020037148
RAILROAD MEDICARE PIN
AZ
05
—
434027
—
AZ
Enumeration date
06/07/2006
Last updated
10/19/2007
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