Individual
DR. RICHARD M WONG
Active
Individual
DR. RICHARD M WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
MD00034518
WA
207VG0400X
Gynecology Physician
Primary
MD11690
OR
Other
Enumeration date
08/15/2006
Last updated
12/05/2012
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