Individual
DR. RANDALL FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7105 W HOOD PL, SUITE A 103, KENNEWICK, WA 99336-6714
(509) 735-5551
(509) 735-5552
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00032458
WA
Other
Enumeration date
06/14/2006
Last updated
12/31/2012
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