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Organization

JIM C CHIANG MD LTD

Active
Parent organization
JIM C CHIANG MD LTD
Organization subpart
Yes

Provider details

NPI number
Legal business name
JIM C CHIANG MD LTD
Authorized official
JIM C CHIANG MD (MD)
(702) 293-0406
Entity
Organization

Contact information

Practice address
895 ADAMS BLVD, BOULDER CITY, NV 89005
(702) 293-0406
(702) 293-0192
Mailing address
895 ADAMS BLVD, BOULDER CITY, NV 89005
(702) 293-0406
(702) 293-0192

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11503
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1001507463
NV
Enumeration date
12/28/2007
Last updated
08/30/2023
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