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Organization
ADVANCED WELLNESS AND PAIN
Active
Organization
ADVANCED WELLNESS AND PAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY WONG MD (OWNER)
(602) 418-6687
Entity
Organization
Contact information
Practice address
5111 N SCOTTSDALE RD STE 105, SCOTTSDALE, AZ 85250-7076
(480) 631-4800
Mailing address
5111 N SCOTTSDALE RD STE 105, SCOTTSDALE, AZ 85250-7076
(480) 631-4800
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
NULL
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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