Provider Demographics
NPI:1235184532
Name:DONG, HUIJUN (MD)
Entity Type:Individual
Prefix:
First Name:HUIJUN
Middle Name:
Last Name:DONG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:650 E INDIAN SCHOOL RD
Mailing Address - Street 2:CARL T. HAYDEN VA MEDICAL CENTER, DEPT. OF P&LM
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-1839
Mailing Address - Country:US
Mailing Address - Phone:602-277-5551
Mailing Address - Fax:602-222-2669
Practice Address - Street 1:650 E INDIAN SCHOOL RD
Practice Address - Street 2:CARL T. HAYDEN VA MEDICAL CENTER, DEPT. OF P&LM
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1839
Practice Address - Country:US
Practice Address - Phone:602-277-5551
Practice Address - Fax:602-222-2669
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ34441207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Not Answered207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology