Individual
DR. SAMUEL WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36535
KS
2085R0202X
Diagnostic Radiology Physician
25105
NE
2085R0202X
Diagnostic Radiology Physician
Primary
39387
CO
2085R0202X
Diagnostic Radiology Physician
MD17525
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02300223
—
NY
05
—
10025709000
—
NE
05
—
104686463
—
MI
05
—
1881631935
—
CA
05
—
1881631935
—
IA
05
—
1881631935
—
MN
05
—
1881631935
—
MT
05
—
1881631935
—
UT
05
—
1881631935
—
WY
05
—
1881631935/7729370
—
SD
05
—
200274306
—
MO
05
—
200417130A
—
KS
05
—
200424620A
—
OK
05
—
204644301
—
TX
05
—
80120571
—
NM
05
—
84-059792913
—
NE
05
—
87879557
—
CO
05
—
920505
—
AZ
05
—
99112261
—
WI
Enumeration date
05/31/2006
Last updated
03/31/2024
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