Organization
DOROTHY L. P. WONG, MD, LLC
Active
Organization
DOROTHY L. P. WONG, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHY LAI PING WONG M.D. (PRESIDENT)
(928) 344-5455
Entity
Organization
Contact information
Practice address
1025 W 24TH ST, SUITE 26, YUMA, AZ 85364-8366
(928) 344-5455
(928) 344-5465
Mailing address
1025 W 24TH ST, SUITE 26, YUMA, AZ 85364-8366
(928) 344-5455
(928) 344-5465
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
22877
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110180845
RAILROAD MEDICARE
AZ
05
—
330085
—
AZ
Enumeration date
08/28/2007
Last updated
01/25/2012
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