Individual
DANIEL NELSON FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11200 N PORTLAND AVE, OKLAHOMA CITY, OK 73120-5045
(405) 936-1092
(405) 302-5232
Mailing address
11200 N PORTLAND AVE, OKLAHOMA CITY, OK 73120-5045
(405) 936-1500
(405) 302-5232
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25623
OK
Other
Enumeration date
06/23/2007
Last updated
04/26/2012
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