DAN VONGTAMA

STOCKTON, CA
NPI1245434083
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X Radiology, Radiation Oncology
(Licence: CA  A109003)
Enumeration Date2007-06-14
Last Update Date2022-10-21
Business Address
DAN VONGTAMA M.D.
4722 QUAIL LAKES DR
STOCKTON, CA 95207-5256
Phone number: 209-472-1848
Mailing Address
DAN VONGTAMA M.D.
4722 QUAIL LAKES DR
STOCKTON, CA 95207-5256
Phone number: