MEDICARE: WONG & LITCHFIELD, LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	6298	NV

General Provider Information

NPI Number	:	1699776856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WONG & LITCHFIELD, LTD

Provider Business Mailing Address
First Line	:	8925 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5826
Country	:	US
Telephone Number	:	702-387-8868
Fax Number	:

Provider Business Practice Location Address
First Line	:	8925 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5826
Country	:	US
Telephone Number	:	702-387-8868
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MILTON WONG
Credential	:	MD
Telephone Number	:	702-387-8868

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	04/18/2008

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Directions to “WONG & LITCHFIELD, LTD ” Practice Location

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