Search › Idaho › 207R00000X
Wayland Fong, MD
NPI 1568491850 · on the registry since 2006
Practice
- Address
- 808 La Cassia Dr
Boise, ID 83705 - Phone
- (208) 343-6495
- Fax
- (208) 343-6496
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho