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Dr. Jack K Wong, MD
General Practice Physician in Medford, Oregon
NPI 1790725539

Jack K Wong is a General Practice Physician based in Medford, OR. Jack K Wong practices in Medford, OR and has the professional credentials of MD. The NPI Number for Jack K Wong is 1790725539 and holds a License No. C50860 (Oregon).

The current practice location address for Jack K Wong is 19 Myrtle St, Medford, OR and can be reached out via phone at 541-773-3863 and via fax at 541-776-2892.

Location: 19 Myrtle St, Medford, OR, 97504-7337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790725539
Provider Name
Jack K Wong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19 Myrtle St, Medford, OR, 97504-7337
Phone Number
541-773-3863
Fax Number
541-776-2892
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
19 Myrtle St
City
Medford
State
Oregon
Zip
97504-7337
Phone Number
541-773-3863
Fax Number
541-776-2892
person
Provider Business Mailing Address Details
Address
19 Myrtle St
City
Medford
State
Oregon
Zip
97504-7337
Phone Number
541-773-3863
Fax Number
541-776-2892
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD23319 (Oregon)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
C50860 (California)
Definition
Definition to come...
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