Individual
RYAN K WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6585 N. ORACLE RD, TUCSON, AZ 85704-5611
(520) 742-7444
Mailing address
6585 N. ORACLE RD, TUCSON, AZ 85704-5611
(520) 742-7444
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
50496
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033339
—
AZ
Enumeration date
06/05/2009
Last updated
04/06/2017
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