Individual
DR. MICHELLE MONICA ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
OFF HWY 191 HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705
Mailing address
PO DRAWER PH, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036153357
IL
207P00000X
Emergency Medicine Physician
2007006891
MO
207P00000X
Emergency Medicine Physician
MD424775
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17204551
—
NM
05
—
962028
—
AZ
Enumeration date
06/22/2006
Last updated
08/28/2020
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