| NPI | 1952462079 |
|---|---|
| Professional Name | PHILLIP ALLEN WONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NM A-823-85) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM A-823-85) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |