-- JEFF WONGSKHALUANG -- M.D.
Individual Provider (NPI-1)
Active
Ophthalmology
Provider Information
- NPI Number
1821228677- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 21020 W 151ST ST GRIN EYE CARE, OLATHE, KS, 660617200
- Phone
- (913) 829-5511
Specialties & Taxonomies
Ophthalmology
License: MO #2013021811
Ophthalmology
Primary License: KS #04--37827