Individual
DANIEL T. FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3811 E BELL RD STE 300, PHOENIX, AZ 85032-2160
(480) 454-7350
(602) 482-2874
Mailing address
3811 E BELL RD STE 300, PHOENIX, AZ 85032-2160
(480) 454-7350
(602) 482-2874
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
267271-1205
UT
208600000X
Surgery Physician
Primary
30861
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
727513
AHCCCS
AZ
Enumeration date
03/31/2006
Last updated
10/23/2019
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