Individual
DANIEL FONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10 W BROADWAY FL 7, SALT LAKE CITY, UT 84101-2060
(866) 849-0692
Mailing address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-2267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
14268608-1206
UT
363A00000X
Physician Assistant
PA.0004438
CO
363A00000X
Physician Assistant
Primary
—
WY
363AS0400X
Surgical Physician Assistant
PA.0004438
CO
Other
Enumeration date
10/30/2015
Last updated
02/04/2026
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