PHONG T DANG

OKLAHOMA CITY, OK
NPI1346853074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  3207)
Enumeration Date2020-08-24
Last Update Date2020-08-24
Business Address
Mr. PHONG T DANG PA
9800 BROADWAY EXT STE 200
OKLAHOMA CITY, OK 73114-6304
Phone number: 405-715-4496
Mailing Address
Mr. PHONG T DANG PA
5520 HIDDEN TRAIL LN
WARR ACRES, OK 73132-5825
Phone number: 405-473-5045