DR. Andrea Fong, D.O.

NPI #1205983509 in Las Vegas, Nevada

Provider Information

NPI Number: 1205983509
Entity Type: Individual
Name: DR. Andrea Fong, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: D.O.
Enumeration Date: Jan 5, 2007
Last Updated: Oct 12, 2007

Practice Location

Address: 653 N TOWN CENTER DR
City: Las Vegas
State: Nevada
ZIP Code: 89144-0514
Phone: (702) 796-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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Organizations

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