Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | R76335 | AZ |
Y | 208600000X | Surgeon | R76335 | AZ |
NPI | 1013447192 |
---|---|
Provider Name | Yafei Ouyang |
First Address | Phoenix, AZ 85006-2837 |
Second Address | Phoenix, AZ 85006-2837 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2017 |
Last Update Date | 12/06/2017 |