Individual
DR. JASON SHI CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2100 W SUNSET DR, RIVERTON, WY 82501-2274
(307) 856-4161
Mailing address
784 TULIP CIR, WESTON, FL 33327-2452
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.012936
OH
207P00000X
Emergency Medicine Physician
TL5521
WY
Other
Enumeration date
03/06/2014
Last updated
08/04/2021
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