NPI 1073764403

Bertrand Bezanchong Teh Fonji, MD

Practitioner Surgery Physician Conway, AR

Practice location

Address: 650 United Dr STE 240, Conway, AR 72032-7004
Phone: (501) 329-1415
Fax: (501) 329-2589
Mailing address: 11001 Executive Center Dr, Little Rock, AR 72211-4316

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence E-11895 (AR)

Other Surgery providers in Arkansas →

Registry record

NPI: 1073764403
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2008
Record last updated: 25 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.