DANIEL FONG JR., PA-C

Physician Assistant

Active Individual
NPI: 1720450646

Practice Address

10 W BROADWAY FL 7
Salt Lake City, UT 84101

Phone: (866) 849-0692

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No 14268608-1206 (UT)
Physician Assistant - Surgical 363AS0400X No PA.0004438 (CO)

Frequently Asked Questions

NPI 1720450646 is the National Provider Identifier for DANIEL FONG JR., PA-C, a Physician Assistant provider located in Salt Lake City, UT. This NPI was enumerated on October 30, 2015.
DANIEL FONG JR., PA-C practices at 10 W BROADWAY FL 7, Salt Lake City, UT 84101.

Quick Facts

NPI
1720450646
Type
Individual
Enumerated
Oct 30, 2015
Last Updated
Feb 4, 2026

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