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Individual
ROGER JONATHAN ONG
Active
Individual
ROGER JONATHAN ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
5601003732
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051924
NATIONAL-NCCPA
—
Enumeration date
07/19/2005
Last updated
06/21/2021
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