Basic Information
| Provider Information | |||||||||
| NPI: | 1073714887 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CHANG | ||||||||
| FirstName: | EUGENE | ||||||||
| MiddleName: | HANYOUNG | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 HAWKINS DR | ||||||||
| Address2: | |||||||||
| City: | IOWA CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 522421009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3193562201 | ||||||||
| FaxNumber: | 3193564547 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 HAWKINS DR | ||||||||
| Address2: | |||||||||
| City: | IOWA CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 522421009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3193562201 | ||||||||
| FaxNumber: | 3193564547 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/30/2007 | ||||||||
| LastUpdateDate: | 04/14/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | R-7352 | IA | N | Allopathic & Osteopathic Physicians | Otolaryngology | 207Y00000X | 38492 | IA | Y | Allopathic & Osteopathic Physicians | Otolaryngology | 207YX0602X | 38492 | IA | N | Allopathic & Osteopathic Physicians | Otolaryngology | Otolaryngic Allergy | 207YS0012X | 38492 | IA | N | Allopathic & Osteopathic Physicians | Otolaryngology | Sleep Medicine |
No ID Information.