Individual
JOHN NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-7298
Mailing address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP60628281
WA
207P00000X
Emergency Medicine Physician
OS017313
PA
Other
Enumeration date
03/28/2012
Last updated
09/01/2016
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