Individual
DR. CHRISTINA GRACE KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-4063
(602) 933-2423
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2015025849
MO
2080P0201X
Pediatric Allergy/Immunology Physician
2015025849
MO
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
62781
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090117
—
AZ
05
—
200043292
—
MO
05
—
WUPI ENROLLED
—
IL
Enumeration date
06/28/2012
Last updated
02/20/2023
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