Whalio Doctors

NPI 1225013790

Granger Bradford Wong, MDDMDFACS

Practitioner Plastic Surgery Physician Sacramento, CA

Practice location

Address
2221 Stockton Blvd, Sacramento, CA 95817-1418
Phone
(916) 734-2130

Registered specialties (2)

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence A54333 (CA)
Ph.D. Medical Genetics
Other Service Providers Taxonomy 170100000X Licence A54333 (CA)

Registry record

NPI
1225013790
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Dec 2005
Record last updated
10 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.