MEDICARE: CHERI ONG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	38198	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699822411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERI ONG MD

Provider Business Mailing Address
First Line	:	6300 E EL DORADO PLZ
Second Line	:	STE A220
City	:	TUCSON
State	:	AZ
Zip	:	85715-4612
Country	:	US
Telephone Number	:	520-750-7166
Fax Number	:

Provider Business Practice Location Address
First Line	:	3170 N SWAN RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1227
Country	:	US
Telephone Number	:	520-298-2325
Fax Number	:	520-298-2328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	04/12/2010

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Directions to “ CHERI ONG MD” Practice Location

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