Phong T Dang, PA
Physician Assistant in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1346853074
StatusActive
Last updated in NPPESAug 24, 2020
Details
- NPI
- 1346853074
- Entity type
- Individual (NPI-1)
- Name
- Mr. Phong T Dang
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2020
- Certification date
- Aug 24, 2020
- Last updated
- Aug 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 3207 | OK | Yes |
Practice location
9800 Broadway Ext Ste 200Oklahoma City, OK 73114-6304
Phone 405-715-4496 · Fax 405-715-4499
Mailing address
5520 Hidden Trail LnWarr Acres, OK 73132-5825
Phone 405-473-5045
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