Individual
DR. PHILLIP ALLEN WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10211 MONTGOMERY BLVD NE STE A, ALBUQUERQUE, NM 87111-3608
(505) 296-8968
Mailing address
10211 MONTGOMERY BLVD NE STE A, ALBUQUERQUE, NM 87111-3608
(505) 296-8968
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
A-823-85
NM
207Q00000X
Family Medicine Physician
Primary
A-823-85
NM
Other
Enumeration date
12/12/2006
Last updated
09/11/2025
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