Individual
ROGER Y WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
16259 SYLVESTER RD SW, SUITE 501, BURIEN, WA 98166-3049
(206) 242-2611
(206) 242-3640
Mailing address
16259 SYLVESTER RD SW, BURIEN, WA 98166-3049
(206) 243-1100
(206) 431-0835
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
OP00000713
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8292682
—
WA
01
—
P00673152
MEDICARE RAILROAD
WA
Enumeration date
06/12/2006
Last updated
03/23/2009
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