DANIEL FONG Jr. PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1720450646- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 10 W BROADWAY FL 7, SALT LAKE CITY, UT, 841012060
- Phone
- (866) 849-0692
Specialties & Taxonomies
Physician Assistant
Primary License: WY
Physician Assistant
License: CO #PA.0004438
Physician Assistant
License: UT #14268608-1206
Physician Assistant, Surgical
License: CO #PA.0004438