Individual
ROGER Y WONG
Active
Individual
ROGER Y WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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