Organization
EMERY J CHANG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMERY J CHANG M.D. (DOCTOR)
(253) 984-6200
Entity
Organization
Contact information
Practice address
11300 BRIDGEPORT WAY SW, UNIT C, LAKEWOOD, WA 98499-3052
(253) 984-6200
(253) 984-1100
Mailing address
11300 BRIDGEPORT WAY SW, UNIT C, LAKEWOOD, WA 98499-3052
(253) 984-6200
(253) 984-1100
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00038868
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1116466
—
WA
Enumeration date
01/15/2007
Last updated
08/22/2020
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