Gerald D Gong
Pediatric Pulmonologist
1919 E Thomas Rd
Phoenix
, Arizona 85016-7710
Gerald D Gong
Pediatric Pulmonologist
1919 E Thomas Rd
Phoenix
, Arizona 85016-7710
(602) 933-1813
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About
Features
Specialties
- Pediatric Pulmonologist
Languages spoken
- English
Location
First Address
- Gerald D Gong
- 3200 E Camelback Rd Ste 250
- Phoenix, AZ
- Zip : 85018-2327
- Phone : (602) 933-1813
Second Address
- Gerald D Gong
- 1919 E Thomas Rd
- Phoenix, AZ
- Zip : 85016-7710
- Fax : (602) 933-2423
- Phone : (602) 933-0985
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0214X | Pediatric Pulmonologist | 19431 | AZ |
National Provider Identifier
| NPI | 1558323105 |
|---|---|
| Provider Name | Gerald D Gong |
| First Address | Phoenix, AZ 85018-2327 |
| Second Address | Phoenix, AZ 85016-7710 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2006 |
| Last Update Date | 25/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 327412 | (05) | AZ |
| F22078 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.