Individual provider · Type 1 NPI
Richard Gary Wong, DC
Chiropractor · Santa Rosa, CA
NPI number
1356444277
Active
Practice location
205 8th St
Santa Rosa, CA 95401-6206
Fax (707) 578-1016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 15077 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1356444277
Richard Gary Wong, DC's National Provider Identifier is 1356444277, issued on Sep 6, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jan 7, 2014.