Individual
DR. YIFAN GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 RIVERVIEW AVE STE 400, NORFOLK, VA 23510-1065
(757) 252-1700
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
LP01786
RI
208600000X
Surgery Physician
2016-01989
NC
208600000X
Surgery Physician
LP01786
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033347141
—
NC
01
—
19LPQ
BCBS OF NC
NC
Enumeration date
06/26/2009
Last updated
05/21/2025
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