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Individual

JOHNNY FONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(702) 984-6888
Mailing address
5575 SIMMONS ST, SUITE 1 UNIT 563, N LAS VEGAS, NV 89031-9008

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20152
NV

Other

Enumeration date
08/01/2016
Last updated
04/28/2021
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