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Individual
ROBERT WILLLIAM WING
Active
Individual
ROBERT WILLLIAM WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
166287 1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59266629001/1945
BLUE CROSS ID NUMBER
UT
Enumeration date
09/21/2005
Last updated
10/08/2014
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