Individual
DR. JONATHAN C CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-3547
Mailing address
PO BOX 2922, MONUMENT, CO 80132-2922
(719) 505-9113
(888) 939-4319
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
49210
WI
2084P0800X
Psychiatry Physician
Primary
50799
CO
Other
Enumeration date
05/03/2007
Last updated
06/10/2024
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