| Dorothy L. P. Wong, Md, Llc | |
|
1025 W 24th St Suite 26 Yuma AZ 85364-8366 | |
| (928) 344-5455 | |
| (928) 344-5465 |
| Full Name | Dorothy L. P. Wong, Md, Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1025 W 24th St, Yuma, Arizona |
| Authorized Official Name and Position | Dorothy Lai Ping Wong (PRESIDENT) |
| Authorized Official Contact | 9283445455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy L. P. Wong, Md, Llc 1025 W 24th St Suite 26 Yuma AZ 85364-8366 Ph: (928) 344-5455 | Dorothy L. P. Wong, Md, Llc 1025 W 24th St Suite 26 Yuma AZ 85364-8366 Ph: (928) 344-5455 |
| NPI Number | 1912191404 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 01/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912191404 | NPI | - | NPPES |
| 110180845 | Other | AZ | RAILROAD MEDICARE |
| 330085 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 22877 (Arizona) | Primary |
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