Jack Wang

NPI #1467817825 in Casa Grande, Arizona

Provider Information

NPI Number: 1467817825
Entity Type: Individual
Name: Jack Wang
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 29, 2015
Last Updated: Dec 29, 2015

Practice Location

Address: 1821 N TREKELL RD
Address 2: STE 7
City: Casa Grande
State: Arizona
ZIP Code: 85122-1705
Phone: (520) 876-9293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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