Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 42034 | AZ |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 42034 | AZ |
N | 207XS0106X | Orthopaedic Hand Surgeon | 42034 | AZ |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 42034 | AZ |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 42034 | AZ |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 42034 | AZ |
NPI | 1700052123 |
---|---|
Provider Name | Dr. George K. Myo |
First Address | Chandler, AZ 85225-6131 |
Second Address | Chandler, AZ 85225-6131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2008 |
Last Update Date | 11/08/2015 |