Wong, Leslie P

Wong, Leslie P is an individual health care provider with primary practice located at 5169 S Cottonwood St Ste 320 , Murray UT 84107-6768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wong, Leslie P can be contacted via phone (801) 507-2531.

Contact Information

Primary practice address
5169 S Cottonwood St Ste 320 Murray UT 84107-6768
Phone: (801) 507-2531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD00043067 Washington
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X C54492 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 12745135-1205 Utah

Profile Details

NPI number 1487641957
LBN Legal business name Wong, Leslie P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Sep 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487641957 NPPES
Washington MEDICAID 8392490
Washington Other 186164

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