Granger Bradford Wong in Sacramento - Medical Genetics, Ph.d. Medical Genetics
Granger Bradford Wong - NPI 1225013790
Granger Bradford Wong is a Medical Genetics, Ph.d. Medical Genetics in Sacramento, California. Granger Bradford Wong practices all healthcare services and medical treatments related to Medical Genetics, Ph.d. Medical Genetics. The NPI Number for Granger Bradford Wong is 1225013790. The last update date is 2014-03-10.
Granger Bradford Wong's current location address is 2221 Stockton Blvd, Sacramento, California. You can contact this provider via phone number 9167342130. The mailing address for Granger Bradford Wong is 2221 Stockton Blvd, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Granger Bradford Wong |
|---|---|
| Address | 2221 Stockton Blvd, Sacramento, California |
| Phone Number | 9167342130 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD,DMD,FAC |
NPI Number Detail
| NPI Number | 1225013790 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2014-03-10 |
Provider Mailing Address Detail
| Address | 2221 Stockton Blvd |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958171418 |
| Phone Number | 9167342130 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical Genetics, Ph.d. Medical Genetics |
|---|---|
| Taxonomy | 170100000X |
| Licence No | A54333 |
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Definition: A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
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What is the unique identifier code issued to Granger Bradford Wong by the Centers for Medicare & Medicaid Services (CMS)?
The Granger Bradford Wong has been assigned the NPI (National Provider Identifier) 1225013790. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Granger Bradford Wong?
The Granger Bradford Wong is physically situated at 2221 Stockton Blvd, in the city of Sacramento, state of CA, with the postal code 958171418.
What is Granger Bradford Wong's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Granger Bradford Wong is Medical Genetics, Ph.d. Medical Genetics, and the taxonomy classification code that categorizes this area of expertise is 170100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225013790 to Granger Bradford Wong?
The Centers for Medicare & Medicaid Services assigned the 1225013790 to Granger Bradford Wong on 2005-12-07.
As of what date were the details related to Granger Bradford Wong most recently updated or revised?
The information pertaining to Granger Bradford Wong, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-10.
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