DERRICK KEITH WONG
NPI 1104507318
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT
About Derrick Keith Wong NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK KEITH WONG (NPI 1104507318) is an individual student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since July 2023.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84112
SLC, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
SALT LAKE CITY, UT 84112
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Derrick Wong's NPI number?
The NPI number for Derrick Wong is 1104507318. It was assigned to this individual provider in the NPPES registry on July 31, 2023.
Where is Derrick Wong located?
Derrick Wong practices at 27 S Mario Capecchi Dr, Salt Lake City, UT 84112. The listed phone number is (801) 581-7498.
What is Derrick Wong's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Derrick Wong was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Derrick Keith Wong · NPI 1104507318
Student in an Organized Health Care Education/Training Program provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since July 31, 2023.
## Identity
- **NPI:** 1104507318 (Entity type: Individual)
- **Enumerated:** July 31, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 27 S MARIO CAPECCHI DR, Salt Lake City, UT 84112-5888
- **Phone:** (801) 581-7498
## Record status
- **NPPES last updated:** July 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104507318) · Data from the CMS NPPES public registry.