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Individual
DR. BRIAN LEE FONG
Active
Individual
DR. BRIAN LEE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10265R
LA
207X00000X
Orthopaedic Surgery Physician
MD7157
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194920001
DME MEDICARE
—
01
—
200030274
RAILROAD MEDICARE
—
01
—
C7760
BLUE CROSS
—
Enumeration date
09/23/2005
Last updated
08/31/2020
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