Individual
DR. ANGELA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
60 S KYRENE RD, STE. 1, CHANDLER, AZ 85226-4685
(480) 785-8700
(480) 758-8787
Mailing address
6301 S MCCLINTOCK DR, #101, TEMPE, AZ 85283-3392
(480) 214-2300
(480) 214-2301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18806
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00014257
BANNER HEALTH PLAN
—
01
—
140955
AHCCCS
AZ
01
—
1409550
DES
—
01
—
140955001
APIPA
—
01
—
1Z6560
HEALTHNET
—
01
—
AZ0867990
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/21/2006
Last updated
08/07/2013
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