Individual
DR. GREGORY J WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10204 W HAPPY VALLEY PKWY STE 106B, PEORIA, AZ 85383-2880
(480) 631-4800
(480) 631-4801
Mailing address
3857 E ALOE PL, CHANDLER, AZ 85286-0021
(602) 796-8263
(480) 324-5459
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21991
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342600
—
AZ
Enumeration date
10/05/2006
Last updated
02/08/2021
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