Yong Seok Chang, DO
Student in an Organized Health Care Education/Training Program in Tupelo, MS. Individual provider (NPI-1).
NPI number1003602004
StatusActive
Last updated in NPPESApr 16, 2025
Details
- NPI
- 1003602004
- Entity type
- Individual (NPI-1)
- Name
- Yong Seok Chang
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2025
- Certification date
- Apr 16, 2025
- Last updated
- Apr 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1665 S Green StTupelo, MS 38804-6556
Phone 662-377-2189
Mailing address
1665 S Green StTupelo, MS 38804-6556
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All 95 Student in an Organized Health Care Education/Training Program providers in Tupelo · All 2,880 providers in Tupelo
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