Wayland Ben Fong MD

NPI 1568491850 - Internal Medicine - 207R00000X

NPI Details
NPI 1568491850
Gender Male
Enumeration Date 07/01/2006
Last Updated 12/01/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
808 LA CASSIA DR
BOISE ID, 83705-2253, US
Phone (208) 343-6495
Fax (208) 343-6496
Business Location
808 LA CASSIA DR
BOISE ID, 83705-2253, US
Phone (208) 343-6495
Fax (208) 343-6496
Toxanomy
Taxonomy Code 207R00000X
License State Idaho
License Number M3984
Remove 1568491850 NPI Number
 

According to our database, Dr. Wayland Ben Fong MD NPI is 1568491850, taxonomy code is 207R00000X and license number is M3984, license state is located at Idaho. Wayland Ben Fong MD physically located at 808 La Cassia Dr, Boise ID, 83705-2253. NPI Number Wayland Ben Fong MD has the Individual type.

Sponsored links

1568491850 NPI number is provided on an as is basis without warranty of any kind. 1568491850 is maintained by the National Plan & Provider Enumeration System. The contents of Wayland Ben Fong MD are for informational purposes only.