| Jonathan C. Chang, M.d. | |
|
212 Washington St Suite F Monument CO 80132-9173 | |
| (719) 505-9113 | |
| (888) 939-4319 |
| Full Name | Jonathan C. Chang, M.d. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 212 Washington St, Monument, Colorado |
| Authorized Official Name and Position | Jonathan Chang (OWNER) |
| Authorized Official Contact | 7195059113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan C. Chang, M.d. Po Box 2922 Monument CO 80132-2922 Ph: (719) 505-9113 | Jonathan C. Chang, M.d. 212 Washington St Suite F Monument CO 80132-9173 Ph: (719) 505-9113 |
| NPI Number | 1033531256 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033531256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 50799 (Colorado) | Primary |
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