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Individual

DR. ALLEN WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7060 S DURANGO DR STE 112, LAS VEGAS, NV 89113-2268
(702) 362-2020
(702) 362-0320
Mailing address
7060 S DURANGO DR, STE 112, LAS VEGAS, NV 89113-2268
(702) 451-0098

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
630
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609024413
NV
Enumeration date
09/04/2008
Last updated
06/23/2022
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