Individual
JASON H WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2451 UNIVERSITY HOSPITAL DR RM 714, MOBILE, AL 36617-2300
(251) 471-7207
(251) 471-7468
Mailing address
2451 UNIVERSITY HOSPITAL DR RM 714, MOBILE, AL 36617-2300
(251) 471-7207
(251) 471-7468
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207R00000X
Internal Medicine Physician
0101270185
VA
207R00000X
Internal Medicine Physician
Primary
MD.49117
AL
Other
Enumeration date
04/10/2019
Last updated
09/23/2024
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