Individual
JORGE A WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
730 MEDICAL CENTER DR, NEWTON, KS 67114-8778
(316) 283-1141
(316) 283-1162
Mailing address
PO BOX 256, SALINA, KS 67402-0256
(785) 823-0633
(785) 823-0658
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
0424770
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0424770
KS LICENSE
KS
05
—
100150390A
—
KS
05
—
100150390E
—
KS
05
—
200578670A
—
OK
Enumeration date
04/13/2006
Last updated
03/07/2023
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