Individual
CHRISTABELLE N WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
975 E RIGGS RD, SUITE 12-268, CHANDLER, AZ 85249-4260
(480) 634-5521
(480) 248-9011
Mailing address
975 E RIGGS RD, SUITE 12-268, CHANDLER, AZ 85249-4260
(480) 634-5521
(480) 248-9011
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2725
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3Z0050
HEALTHNET OF AZ
AZ
05
—
872889
—
AZ
01
—
P00386339
RAILROAD MEDICARE
—
Enumeration date
04/13/2006
Last updated
12/09/2016
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