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Individual

DR. WILLIAM K WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15203 11TH STREET, SUITE B, VICTOVILLE, CA 92395-3737
(760) 245-6691
(760) 245-2671
Mailing address
15203 11TH STREET, SUITE B, VICTOVILLE, CA 92395-3737
(760) 245-6691
(760) 245-2671

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A31644
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A316440
CA
Enumeration date
11/29/2006
Last updated
12/27/2011
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