Mark L. Wong, DC, QME

NPI #1316067507 in San Mateo, California

Provider Information

NPI Number: 1316067507
Entity Type: Individual
Name: Mark L. Wong, DC, QME
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC, QME
Enumeration Date: Mar 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1100 S EL CAMINO REAL
City: San Mateo
State: California
ZIP Code: 94402-2804
Phone: (650) 315-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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