Individual
WILLIS CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
91-2139 FORT WEAVER ROAD, #213, EWA BEACH, HI 96706
(808) 671-2456
Mailing address
PO BOX 25370, HONOLULU, HI 96825-0370
(808) 536-0300
(808) 536-0320
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
6115
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00661001
—
HI
Enumeration date
06/19/2006
Last updated
10/11/2007
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