Search › Colorado › 207Q00000X
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 ColoradoInferred 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