Individual
CODY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-6100
Mailing address
19829 N 27TH AVE, PHOENIX, AZ 85027-4001
(623) 879-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10438
AZ
Other
Enumeration date
04/27/2020
Last updated
07/31/2023
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