Individual
HUGH PHONG WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
818 N CARRIAGE PKWY, WICHITA, KS 67208-4500
(316) 651-2250
(316) 689-9391
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301100415
MI
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
04-39317
KS
390200000X
Student in an Organized Health Care Education/Training Program
4301100415
MI
Other
Enumeration date
05/08/2012
Last updated
08/17/2016
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