Scott Wong, MD

NPI #1275604498 in Maryville, Illinois

Provider Information

NPI Number: 1275604498
Entity Type: Individual
Name: Scott Wong, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Nov 10, 2006
Last Updated: Jan 18, 2023

Practice Location

Address: 6810 STATE ROUTE 162 STE 100
City: Maryville
State: Illinois
ZIP Code: 62062-8560
Phone: (618) 288-3616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X

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