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Individual
MEAGAN WONG
Active
Individual
MEAGAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A16538
CA
207Q00000X
Family Medicine Physician
Primary
OP60667680
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062034
—
WA
01
—
G8995530
MEDICARE W VALLEY MEDICAL GROUP - RENTON
WA
Enumeration date
05/11/2016
Last updated
01/17/2025
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