Individual
JEN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E, RM 3C444, SALT LAKE CITY, UT 84132-0002
(801) 581-6393
Mailing address
30 N 1900 E, RM 3C444, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9169318-1205
UT
208600000X
Surgery Physician
A97208
CA
Other
Enumeration date
07/03/2007
Last updated
11/12/2021
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