| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEVEN G WONG | 1396354304 | 2020-07-26 |
Steven G Wong is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396354304. Registration indicates Steven G Wong is a provider of services with a specialization in Other Service Providers, Acupuncturist (Acupuncturist, ) (All Other Specialties & Provider Types, ) (Acupuncturist, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Steven G Wong MS, PHD, L.AC. |
| Practice Office Address | 3985 WONDERLAND HILL AVE # 100 BOULDER, CO US |
| Practice Office Telephone | 3039568543 |
| Mailing Address | 3985 WONDERLAND HILL AVE # 100 BOULDER, CO 803041038 US |
| Business Telephone | 3039568543 |
| Code | Practice | License No State |
|---|---|---|
| 171100000X PRIMARY | Other Service Providers Acupuncturist Acupuncturist All Other Specialties & Provider Types Acupuncturist Other Service Providers | ACU.0002546
CO |