Individual
ALICE M. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
544 S 400 E, ST GEORGE, UT 84770-3705
(435) 688-4770
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
6645
MT
207V00000X
Obstetrics & Gynecology Physician
Primary
82286058017
UT
Other
Enumeration date
10/23/2006
Last updated
10/02/2012
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