Glenn Wong DO

NPI 1063537934 - Internal Medicine - 207RH0003X

NPI Details
NPI 1063537934
Gender Male
Enumeration Date 03/20/2007
Last Updated 11/04/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2850 COMMERCIAL XING
SANTA CRUZ CA, 95065-1702, US
Phone (831) 460-7355
Fax
Business Location
2025 SOQUEL AVE
SANTA CRUZ CA, 95062-1323, US
Phone (831) 479-6603
Fax (831) 458-6293
Toxanomy
Taxonomy Code 207RH0003X
License State California
License Number 20A10095
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According to our database, Glenn Wong DO NPI is 1063537934, taxonomy code is 207RH0003X and license number is 20A10095, license state is located at California. Glenn Wong DO physically located at 2850 Commercial Xing, Santa Cruz CA, 95065-1702. NPI Number Glenn Wong DO has the Individual type.

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1063537934 NPI number is provided on an as is basis without warranty of any kind. 1063537934 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn Wong DO are for informational purposes only.