Individual
DANIEL FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106
(806) 212-2000
Mailing address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 425-4500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23355
NV
207P00000X
Emergency Medicine Physician
56463
CO
207P00000X
Emergency Medicine Physician
R4547
TX
Other
Enumeration date
08/08/2013
Last updated
04/26/2024
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