Individual
GILBERT G. WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5610 W TALAVI BLVD, STE 101, GLENDALE, AZ 85306-1878
(602) 386-1153
(602) 386-1156
Mailing address
5610 W TALAVI BLVD, STE 101, GLENDALE, AZ 85306-1878
(602) 386-1153
(602) 386-1156
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD668
AZ
Other
Enumeration date
06/10/2005
Last updated
07/12/2010
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