Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK WANG
ActiveJACK WANG is a Peer Specialist healthcare provider located in CASA GRANDE, Arizona. NPI 1467817825 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · CASA GRANDE, AZ
Registration Details
- NPI Number
- 1467817825
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2015 (10.640227068631 yrs)
- Last Updated
- Dec 29, 2015
Practice Information
- Address
-
1821 N TREKELL RDSTE 7CASA GRANDE, AZ, 851221705Browse AZ providers · Browse ZIP 85122
- Phone
- 5208769293
- Fax
- 5208769334
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in CASA GRANDE, AZ
| Name | Credential | NPI |
|---|---|---|
| VALENA F EISENHART | — | 1861884157 |
| ANDRES L SALAZAR | — | 1982069340 |
| PETE VAVAGES | — | 1528513751 |
| TERRICITA UNDERWOOD | — | 1083319073 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.