Individual
WEI LOONG GLENN KOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4601 DALE RD, SUITE 4A5, MODESTO, CA 95356-9718
(925) 200-1811
Mailing address
4601 DALE RD, #4A5, MODESTO, CA 95356-9718
(925) 200-1811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A118722
CA
Other
Enumeration date
08/28/2007
Last updated
02/13/2014
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