Doctor Name: | DANIEL NELSON FONG |
NPI Number: | 1124224431 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25623 |
Business Practice Address: | 11200 N Portland Ave Oklahoma City, OK - 731205045 |
Business Phone Number: | 4059361092 |
Business Fax Number: | 4053025232 |
Mailing Address: | 11200 N Portland Ave, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731205045 |
Phone Number: | 4059361500 |
Fax Number: | 4053025232 |
NPI Enumeration Date: | 06/23/2007 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 25623 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |