Organization
BERT YS WONG, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERT YS WONG MD (PRESIDENT)
(719) 636-9225
Entity
Organization
Contact information
Practice address
1400 E BOULDER ST, SUITE 700, COLORADO SPRINGS, CO 80909-5533
(719) 635-7172
(719) 636-9377
Mailing address
40 BERTHE CIR, COLORADO SPRINGS, CO 80906-3162
(719) 636-9225
(719) 636-9377
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25298
CO
Other
Enumeration date
12/18/2007
Last updated
02/06/2008
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