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NPI Code Detail

MEDICARE: DR. WEN L GUO M.D.

MEDICARE: DR. WEN L GUO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician12317NV

General Provider Information

NPI Number : 1437128030
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WEN L GUO M.D.
Provider Business Mailing Address
First Line : 5576 S FORT APACHE RD. SUITE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-3602
Country : US
Telephone Number : 702-895-9968
Fax Number : 702-895-9928
Provider Business Practice Location Address
First Line : 5576 S FORT APACHE RD. SUITE 120
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-3602
Country : US
Telephone Number : 702-895-9968
Fax Number : 702-895-9928
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 03/15/2024

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