Individual
JEREMY N WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
036148980
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
DR.0073627
CO
Other
Enumeration date
04/06/2011
Last updated
02/07/2025
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