Individual
DR. JACKSON WONG-SICK-HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3340 W OKMULGEE ST, MUSKOGEE, OK 74401-5069
(918) 687-6002
(918) 687-6216
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(918) 488-6653
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18881
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100060920A
—
OK
Enumeration date
03/09/2006
Last updated
09/13/2022
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