Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A114056 | CA |
N | 111NI0900X | Internist | A114056 | CA |
N | 207R00000X | Internist | MD60551261 | WA |
N | 111NI0900X | Internist | MD60551261 | WA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD60551261 | WA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD60551261 | WA |
NPI | 1265761951 |
---|---|
Provider Name | Jeffrey Ho |
First Address | Tacoma, WA 98405-2302 |
Second Address | Tacoma, WA 98405-2302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2009 |
Last Update Date | 17/03/2018 |