Individual
BEVERLY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 S 900 E, SLC, UT 84105-3208
(801) 464-7660
(801) 464-7695
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 464-7660
(801) 464-7695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6620038-1205
UT
207R00000X
Internal Medicine Physician
MD00040979
WA
Other
Enumeration date
07/14/2006
Last updated
06/07/2011
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