MEDICARE: DAVID YUNG-PING CHONG M.D.

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	207XP3100X	Pediatric Orthopaedic Surgery Physician	30554	OK

General Provider Information

NPI Number	:	1558564542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID YUNG-PING CHONG M.D.

Provider Business Mailing Address
First Line	:	940 N.E. 13TH STREET, SUITE 2009/MRI 2000
Second Line	:	OUHSC DEPT OF PEDIATRIC ORTHOPEDICS
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104
Country	:	US
Telephone Number	:	405-271-6458
Fax Number	:	405-271-1502

Provider Business Practice Location Address
First Line	:	940 N.E. 13TH STREET, SUITE 2009/MRI 2000
Second Line	:	OUHSC DEPT OF PEDIATRIC ORTHOPEDICS
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104
Country	:	US
Telephone Number	:	405-271-6458
Fax Number	:	405-271-1502

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

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	09/09/2014

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