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Brian Wong
NPI 1124474960 · on the registry since 2016
Practice
- Address
- 3217 W Bavaria St
Eagle, ID 83616 - Phone
- (208) 302-6200
- Fax
- (208) 302-6245
- Organisation at this address
- Oasis Pediatrics
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Additional practice sites
- 11234 Anderson St, Loma Linda, CA
- 3653 N Locust Grove Rd, Meridian, ID
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho