Individual
DR. DANIEL L WINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-4504
(253) 968-3214
Mailing address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-3214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101261910
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101261910
VA
207RP1001X
Pulmonary Disease Physician
0101261910
VA
Other
Enumeration date
06/24/2015
Last updated
10/03/2024
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