Individual
DR. JEAN-MARC C WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1333 IRIS AVENUE, BOULDER, CO 80304-2296
(720) 406-3621
(720) 406-3603
Mailing address
1333 IRIS AVENUE, BOULDER, CO 80304-2296
(720) 406-3621
(720) 406-3603
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34549
CO
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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