Individual
MR. JEFFERY H WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 ANDERSON DR, ABERDEEN, WA 98520-1006
(360) 537-5191
(360) 537-5004
Mailing address
1001 N H ST, ABERDEEN, WA 98520-2520
(360) 537-6113
(360) 537-6146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00041288
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8318826
—
WA
Enumeration date
07/25/2006
Last updated
07/08/2007
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