Individual
DR. PHILLIP JOHN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
818 N BEAVER ST, FLAGSTAFF, AZ 86001-3106
(928) 779-1297
(928) 779-2198
Mailing address
818 N BEAVER ST, FLAGSTAFF, AZ 86001-3106
(928) 779-1297
(928) 779-2198
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
258
AZ
Other
Enumeration date
01/27/2006
Last updated
10/20/2014
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