Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 47506 | MN |
NPI | 1154307528 |
---|---|
Provider Name | Hongsheng M Guo |
First Address | Olympia, WA 98506-5115 |
Second Address | Olympia, WA 98506-5115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 07/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1154307528 | NPI (01) |