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1033297163
BRYAN PHILIP FONG
WALNUT CREEK, CA
NPI
1033297163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: CA G81504)
Enumeration Date
2006-11-02
Last Update Date
2021-12-06
Business Address
BRYAN PHILIP FONG MD
1425 S MAIN ST
WALNUT CREEK, CA 94596-5318
Phone number: 925-295-4000
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Mailing Address
BRYAN PHILIP FONG MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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