Individual
ELSOM WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1025 STRAKA TER, OKLAHOMA CITY, OK 73139-2544
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5052
OK
Other
Enumeration date
10/03/2023
Last updated
05/14/2026
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