Individual
DR. ZACH ZHISHUO OU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 VIVIGEN WAY, SANTA FE, NM 87505-5600
(505) 438-2105
Mailing address
2000 VIVIGEN WAY, SANTA FE, NM 87505-5600
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32D0653253
CLIA
—
Enumeration date
05/28/2020
Last updated
05/28/2020
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