Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 38492 | IA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | R-7352 | IA |
NPI | 1073714887 |
---|---|
Provider Name | Dr. Eugene Hanyoung Chang |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 14/04/2010 |