WAYLAND BEN FONG

BOISE, ID
NPI1568491850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ID  M3984)
Enumeration Date2006-07-01
Last Update Date2010-12-01
Business Address
Dr. WAYLAND BEN FONG MD
808 LA CASSIA DR
BOISE, ID 83705-2253
Phone number: 208-343-6495
Mailing Address
Dr. WAYLAND BEN FONG MD
808 LA CASSIA DR
BOISE, ID 83705-2253
Phone number: 208-343-6495
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