Individual
JUNYANG GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2345 PHILADELPHIA DR, DAYTON, OH 45406-1816
(937) 276-4141
Mailing address
4081 DARBY RD, DAYTON, OH 45431-1116
(646) 706-2876
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
019520
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2009
Last updated
11/15/2023
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