Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 59513 | MN |
N | 208600000X | Surgeon | 59513 | MN |
N | 2086S0105X | Surgery of the Hand | 59513 | MN |
Y | 2086S0105X | Surgery of the Hand | 63247 | AZ |
NPI | 1659787372 |
---|---|
Provider Name | Christine Oh |
First Address | Phoenix, AZ 85067-3269 |
Second Address | Phoenix, AZ 85013-4217 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2014 |
Last Update Date | 24/08/2021 |