DR. Samuel W Fongang is a family nurse practitioner in Camp Verde, AZ with 5 years of experience. DR. Samuel W Fongang NPI is 1477211076. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1298 W FINNIE FLAT RD
CAMP VERDE, AZ
ZIP 86322-958
Phone: (928) 639-5555
The NPI 1477211076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/1/2021 and was last updated on 8/21/2023.