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Individual

EMERY J CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-2652
(907) 459-3542
Mailing address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-2652
(907) 459-3542

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
129116
AK
208600000X
Surgery Physician
MD00038868
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0298161
L & I NUMBER FOR PMG SWR
WA
05
1040017
WA
05
1755876
AK
Enumeration date
09/28/2006
Last updated
06/12/2025
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