Individual
DENNIS KAIYAN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3838 N CAMPBELL AVE STE C, TUCSON, AZ 85719-1454
(520) 694-2574
(520) 626-4333
Mailing address
1501 N CAMPBELL AVE RM 5153, TUCSON, AZ 85724-5060
(520) 626-1232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R78011
AZ
207RC0000X
Cardiovascular Disease Physician
Primary
R78011
AZ
Other
Enumeration date
04/27/2020
Last updated
06/30/2023
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