Individual
DR. GEORGE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2919 S ELLSWORTH RD, SUITE 135, MESA, AZ 85212-2164
(480) 967-6888
(480) 967-6887
Mailing address
2919 S ELLSWORTH RD, SUITE 135, MESA, AZ 85212-2164
(480) 967-6888
(480) 967-6887
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
29668
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z6331
HEALTH NET
AZ
01
—
358680100
WORK COMP
AZ
01
—
4229278-001
CIGNA
AZ
05
—
642852
—
AZ
01
—
7080374
AETNA
AZ
01
—
752987075
GREAT WEST
AZ
01
—
A002
TRICARE
AZ
01
—
AZ0712630
BLUE CROSS & BLUE SHIELD
AZ
01
—
P00079658
RAILROAD MEDICARE
AZ
Enumeration date
05/15/2006
Last updated
12/19/2007
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