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Individual
MR. GEOFFREY XIAO
Active
Individual
MR. GEOFFREY XIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA178428
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079317
—
WA
05
—
500717752
—
OR
Enumeration date
05/17/2016
Last updated
11/26/2019
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