Colby Lowel Wang M.D.

NPI 1801837067 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1801837067
Gender Male
Enumeration Date 06/09/2006
Last Updated 08/07/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
636 W REPUBLIC RD
STE B112
SPRINGFIELD MO, 65807-5818, US
Phone (417) 886-6067
Fax (417) 886-4035
Business Location
2411 S BRENTWOOD BLVD
SPRINGFIELD MO, 65804-3236, US
Phone (417) 886-6067
Fax (417) 886-4035
Toxanomy
Taxonomy Code 2084P0800X
License State Montana
License Number 34358
Remove 1801837067 NPI Number
 

According to our database, Dr. Colby Lowel Wang M.D. NPI is 1801837067, taxonomy code is 2084P0800X and license number is 34358, license state is located at Montana. Colby Lowel Wang M.D. physically located at 636 W Republic Rd, Springfield MO, 65807-5818. NPI Number Colby Lowel Wang M.D. has the Individual type.

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1801837067 NPI number is provided on an as is basis without warranty of any kind. 1801837067 is maintained by the National Plan & Provider Enumeration System. The contents of Colby Lowel Wang M.D. are for informational purposes only.