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Individual

DR. GENE K WONG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1215 GEORGE WASHINGTON WAY, SUITE #1, RICHLAND, WA 99352-3442
(509) 946-9664
(509) 943-5249
Mailing address
1215 GEORGE WASHINGTON WAY, SUITE #1, RICHLAND, WA 99352-3442
(509) 946-9664
(509) 943-5249

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17852
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1526904
WA
01
65 129
GROUP HEALTH
WA
05
7199904
WA
Enumeration date
12/02/2005
Last updated
07/09/2007
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