MR. John Sebastian Wong, CRNA
NPI #1366431488 in Fort Leonard Wood, Missouri
Provider Information
- NPI Number
- 1366431488
- Entity Type
- Individual
- Name
- MR. John Sebastian Wong, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Oct 20, 2005
- Last Updated
- Nov 7, 2011
Practice Location
- Address
- 126 MISSOURI AVE
- Address 2
- GLWACH ATTN MCXP-CCS-CR
- State
- Missouri
- ZIP Code
- 65473-8952
- Phone
- (573) 596-0417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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