JOHNSON WONG

CREVE COEUR, MO
NPI1861846909
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  2019012319)
Enumeration Date2016-04-14
Last Update Date2019-08-05
Business Address
JOHNSON WONG
621 S NEW BALLAS RD STE 112A
CREVE COEUR, MO 63141-8252
Phone number: 314-251-6339
Mailing Address
JOHNSON WONG
621 S NEW BALLAS RD STE 112A
CREVE COEUR, MO 63141-8252
Phone number: 314-251-6339