Individual
EISEEC WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10280 W 55TH AVE, ARVADA, CO 80002-4925
(720) 302-3835
Mailing address
9190 LARK SPARROW TRL, HIGHLANDS RANCH, CO 80126-5214
(720) 302-3835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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