Individual
ROBERT WILLLIAM WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4360 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 476-0494
(801) 476-0067
Mailing address
4360 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 476-0494
(801) 476-0067
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
166287 1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59266629001/1945
BLUE CROSS ID NUMBER
UT
Enumeration date
09/21/2005
Last updated
10/08/2014
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