Individual
NANCY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1625 MEDICAL CENTER PT STE 220, COLORADO SPRINGS, CO 80907
(719) 364-5080
(719) 364-5081
Mailing address
1625 MEDICAL CENTER PT STE 220, COLORADO SPRINGS, CO 80907-5798
(719) 364-5080
(719) 364-5081
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
DR.0060735
CO
2086S0122X
Plastic and Reconstructive Surgery Physician
Q0847
TX
390200000X
Student in an Organized Health Care Education/Training Program
LL1855
NV
Other
Enumeration date
06/24/2008
Last updated
02/26/2020
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