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NPI Code Detail

MEDICARE: DR. WING L LEONG D.O.

MEDICARE:  DR. WING L LEONG  D.O.
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
1207P00000XEmergency Medicine Physician363764MO

General Provider Information

NPI Number : 1932171303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WING L LEONG D.O.
Provider Business Mailing Address
First Line : 220 GATE HOUSE RD
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23608-5021
Country : US
Telephone Number : 757-374-6730
Fax Number :
Provider Business Practice Location Address
First Line : USS CARL VINSON (CVN 70)
Second Line :
City : FPO, AE
State : VA
Zip : 09566
Country : US
Telephone Number : 757-534-0748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. WING L LEONG D.O.” Practice Location

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