Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | D0092269 | MD |
NPI | 1245570001 |
---|---|
Provider Name | Dr. Andrew Mo |
First Address | Washington, DC 20007-2113 |
Second Address | Olney, MD 20832-1576 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2013 |
Last Update Date | 17/08/2021 |