Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 29833 | NE |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 33593 | OK |
NPI | 1952613283 |
---|---|
Provider Name | Dr. Halei K Wong |
First Address | Wright Patterson Afb, OH 45433-5529 |
Second Address | Wright Patterson Afb, OH 45433-5529 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2010 |
Last Update Date | 19/08/2021 |