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Individual

DR. KONDI WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2200 BERGQUIST DR, ATTN CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9907
(210) 292-6812
Mailing address
15806 MISSION RDG, SAN ANTONIO, TX 78232-2792
(210) 495-0239

Taxonomy

Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
M0314
TX

Other

Enumeration date
12/13/2006
Last updated
08/03/2007
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