Individual
DR. ALLEN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
323 E RIVERSIDE DR STE 224, EAGLE, ID 83616-6865
(208) 302-6000
(208) 302-6055
Mailing address
500 W FORT ST, ORANGE, BOISE, ID 83702-4501
(208) 422-1326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9700162
NC
207R00000X
Internal Medicine Physician
Primary
M-17388
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891044W
—
NC
05
—
N00162
—
SC
Enumeration date
05/15/2006
Last updated
01/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us