DR. Samuel W Fongang is a family nurse practitioner in Provo, UT. 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:
122 E 1700 S
PROVO, UT
ZIP 84606-644
Phone: (801) 375-5125
The enumeration date for this NPI number is 12/1/2021 and was last updated on 12/1/2021.