Individual
DEVIN SCOTT KENJI WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 TYDD ST, EUREKA, CA 95501-1284
(707) 441-1624
(707) 441-1253
Mailing address
670 9TH ST, SUITE 203, ARCATA, CA 95521-6248
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A127341
CA
390200000X
Student in an Organized Health Care Education/Training Program
DO NOT HAVE ONE YET
NY
Other
Enumeration date
06/21/2010
Last updated
12/17/2021
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