Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0216X | Pediatric Rheumatologist | 164282 | AK |
N | 2080P0216X | Pediatric Rheumatologist | A139758 | CA |
Y | 2080P0216X | Pediatric Rheumatologist | MD61025347 | WA |
NPI | 1922419993 |
---|---|
Provider Name | Dr. Stephen Chee-Yung Wong |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2014 |
Last Update Date | 25/10/2021 |