Individual
DAN VONGTAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4722 QUAIL LAKES DR, STOCKTON, CA 95207-5256
(209) 472-1848
(209) 472-0133
Mailing address
4722 QUAIL LAKES DR, STOCKTON, CA 95207-5256
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A109003
CA
Other
Enumeration date
06/14/2007
Last updated
10/21/2022
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