# MR. XIAOBO PENG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003410747
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U02776 | MD | Yes |

## Other

- **Enumeration date:** 11/23/2020
- **Last updated:** 07/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P520928001757 | DRIVER LICENSE | MD |
| 01 | — | U02776 | STATE BOARD OF ACUPUNCTURE | MD |