Sangsoon Chang D.O.M

NPI 1114171626 - Acupuncturist - 171100000X

NPI Details
NPI 1114171626
Gender Male
Enumeration Date 11/11/2008
Last Updated 08/06/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
2617 JUAN TABO BLVD NE
ALBUQUERQUE NM, 87112-2966, US
Phone (505) 710-7504
Fax
Business Location
12406 NEW DAWN RD NE # RDNE
ALBUQUERQUE NM, 87122-4304, US
Phone (505) 710-7504
Fax
Toxanomy
Taxonomy Code 171100000X
License State New Mexico
License Number 960
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According to our database, Dr. Sangsoon Chang D.O.M NPI is 1114171626, taxonomy code is 171100000X and license number is 960, license state is located at New Mexico. Sangsoon Chang D.O.M physically located at 2617 Juan Tabo Blvd Ne, Albuquerque NM, 87112-2966. NPI Number Sangsoon Chang D.O.M has the Individual type.

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1114171626 NPI number is provided on an as is basis without warranty of any kind. 1114171626 is maintained by the National Plan & Provider Enumeration System. The contents of Sangsoon Chang D.O.M are for informational purposes only.