NPI 1467817825
Jack Wang
Practice location
- Address
- 1821 N Trekell Rd STE 7, Casa Grande, AZ 85122-1705
- Phone
- (520) 876-9293
- Fax
- (520) 876-9334
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1467817825
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Dec 2015
- Record last updated
- 29 Dec 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.