Individual
VIGYAN BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-5000
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-4662
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2021046760
MO
390200000X
Student in an Organized Health Care Education/Training Program
259869
MA
Other
Enumeration date
06/18/2014
Last updated
07/20/2022
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