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General NPI Number Information
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NPI Number | 1689105397
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Entity Type | Individual
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Provider Name | MENG GUO M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 2500 ROCKY MOUNTAIN AVE # 310
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City | LOVELAND
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State | CO
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Zip | 80538-9004
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Country | US
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Telephone | 970-203-7110
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 ROCKY MOUNTAIN AVE STE 310
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City | LOVELAND
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State | CO
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Zip | 80538-9004
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Country | US
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Telephone | 970-203-7110
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 70497-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 74336
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | DR.0073912
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License Number State | CO
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