Individual
DR. BO PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
DO3270
ME
207YS0123X
Facial Plastic Surgery Physician
Primary
DO3270
ME
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
5101022329
MI
Other
Enumeration date
06/16/2016
Last updated
03/31/2025
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