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DANIEL FONG JR. PA-C

PA-C

Physician Assistant

NPI: 1720450646IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA.0004438(CO)14268608-1206(UT)
Surgical Physician Assistant

Physician Assistant — Surgical

Code: 363AS0400X

PA.0004438(CO)

Education

OTHER

Class of 2015

Contact & Hours

Via practice · 3 locations total

Address
424 YELLOWSTONE AVE STE 120
CODY, WY 82414
Practice locations map

Locations (3)

Practice Location

424 YELLOWSTONE AVE STE 120, CODY, WY
(307) 578-2903

POWELL VALLEY HEALTH CARE INC

777 AVENUE H, POWELL, WY
(307) 754-2267

Practice Location

10 W BROADWAY FL 7, SALT LAKE CITY, UT
(866) 849-0692

Quick Facts

NPI
1720450646
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
4
Locations
3
Years in Practice
11

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