SearchColorado207Q00000X

Bonnie Wong, DO

NPI 1437404415 · on the registry since 2012 · sole proprietor

Practice

Address
902 Lakeview Ave
Southern Colorado Family Medicine
Pueblo, CO 81004
Phone
(719) 557-5872
Organisation at this address
Southern Colorado Family Medicine
Catholic Health Initiatives Colorado
Catholic Health Initiatives Colorado
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-07-17

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 Colorado