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Individual

CHUN HWANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1055 N 500 W, SUITE 101, PROVO, UT 84604-3305
(801) 373-4366
(801) 429-8191
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01065965A
IN
207RC0000X
Cardiovascular Disease Physician
2896671205
UT
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
289667-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060031672
PALMETTO GBA
UT
01
107007244101
IHC HEALTHPLANS
UT
05
200932160
IN
01
220400
DMBA
UT
01
36579
PEHP
UT
05
870281028000
UT
01
870281028HW
EMIA
UT
01
QM0000001544
ALTIUS
UT
Enumeration date
05/03/2006
Last updated
11/27/2023
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