Larry T. Wong, D.o., P.a.

NPI #1376715409 in Panama City, Florida

Provider Information

NPI Number: 1376715409
Entity Type: Organization
Organization Name: Larry T. Wong, D.o., P.a.
Primary Specialty: Surgery
Enumeration Date: Mar 28, 2008
Last Updated: Oct 15, 2012

Practice Location

Address: 502 N MACARTHUR AVE
Address 2: SUITE C
City: Panama City
State: Florida
ZIP Code: 32401-3654
Phone: (850) 215-1080

Authorized Official

Name: DR. LARRY T WONG, D.O.
Title: PHYSICIAN
Phone: (850) 215-1080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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