Individual
KAREN K. WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 W THOMAS RD, ATTN: ACADEMIC AFFAIRS, PHOENIX, AZ 85013-4409
(602) 406-6994
(602) 406-7191
Mailing address
350 W THOMAS RD, ATTN: ACADEMIC AFFAIRS, PHOENIX, AZ 85013-4409
(602) 406-6994
(602) 406-7191
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R72525
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R72525
TRAINING PERMIT
AZ
Enumeration date
06/21/2011
Last updated
06/21/2011
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