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Individual

PETER FONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2000 SUTTER PL, DAVIS, CA 95616-6201
(916) 733-3777
(916) 454-6780
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5151014391
MI
208D00000X
General Practice Physician
5101027816
MI
208M00000X
Hospitalist Physician
Primary
20A22516
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2020
Last updated
10/25/2024
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