Individual
CEON KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635-9110
(520) 263-2000
Mailing address
289 S HIGHWAY 92, 2106, SIERRA VISTA, AZ 85635-3678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
008018
AZ
Other
Enumeration date
06/22/2016
Last updated
07/02/2019
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