Individual
BO GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 DELBON AVE, TURLOCK, CA 95382-2016
(209) 667-4200
Mailing address
PO BOX 111084, CAMPBELL, CA 95011-1084
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A167658
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2014
Last updated
09/23/2021
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