MARY JENNIFER YAO ONG PHUONG

FORT WAYNE, IN
NPI1346292604
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  01057246)
Enumeration Date2006-05-16
Last Update Date2014-11-04
Business Address
Dr. MARY JENNIFER YAO ONG PHUONG MD
5734 COVENTRY LN
FORT WAYNE, IN 46804-7141
Phone number: 260-436-8775
Mailing Address
Dr. MARY JENNIFER YAO ONG PHUONG MD
2121 LAKE AVE OPERATING ROOM - THIRD FLOOR
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431