Organization
SAMUEL JENG, M.D., P.C.
Active
Organization
SAMUEL JENG, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL M JENG M.D. (PHYSICIAN/OWNER)
(970) 352-6688
Entity
Organization
Contact information
Practice address
1616 15TH ST, GREELEY, CO 80631-4571
(970) 352-6688
(970) 353-2892
Mailing address
1616 15TH ST, GREELEY, CO 80631-4571
(970) 352-6688
(970) 353-2892
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
49343
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64474283
—
CO
Enumeration date
04/24/2012
Last updated
04/24/2012
Update your record
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