Individual
ANDREW WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 STANTON L YOUNG BLVD STE 8400, OKLAHOMA CITY, OK 73104-5018
(405) 271-6173
(405) 271-5892
Mailing address
800 STANTON L YOUNG BLVD STE 8400, OKLAHOMA CITY, OK 73104-5018
(405) 271-6173
(405) 271-5892
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3079
OK
Other
Enumeration date
04/23/2019
Last updated
04/23/2020
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