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Individual

DAVID T WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 N PEPPER AVE, ARMC - MOB SUITE 308, COLTON, CA 92324
(909) 580-6210
(909) 580-1363
Mailing address
18523 CORWIN RD, APPLE VALLEY, CA 92307-2338
(909) 712-2764

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00G806640
CA
2086S0102X
Surgical Critical Care Physician
00G806640
CA
2086S0127X
Trauma Surgery Physician
00G806640
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0079700
CA
Enumeration date
08/25/2006
Last updated
09/09/2025
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