Individual
RUI WEN PANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5224 W DOVE CENTRE RD, MARANA, AZ 85658-5063
(520) 616-1445
(520) 616-1446
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 616-1445
(520) 616-1446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
58715
AZ
207R00000X
Internal Medicine Physician
R75316
AZ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
236665
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528748
—
AZ
Enumeration date
06/26/2015
Last updated
07/22/2021
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