Theodore Chang, MD Valid NPI

Individual provider · Anatomic Pathology & Clinical Pathology Physician · North Little Rock, AR

NPI

1154617843

Type

Individual (Type 1)

Primary specialty

Anatomic Pathology & Clinical Pathology Physician (Pathology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207ZP0102X

License number

E-9787 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2011-06-22

Last updated

2021-11-03