Individual
DR. GERMAINE ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 BURRO ALY, MORENCI, AZ 85540-9647
(928) 865-9184
(928) 865-9186
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-4100
(520) 324-1406
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A180523-1
NY
207Q00000X
Family Medicine Physician
37698
AZ
207R00000X
Internal Medicine Physician
Primary
37698
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000528262002
BCBS
—
05
—
01956394
—
NY
01
—
P00401068
RAILROAD
NY
Enumeration date
06/27/2006
Last updated
05/10/2019
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