Individual
XIONG GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14645 HAZEL DELL RD, NOBLESVILLE, IN 46062-7066
(317) 922-2090
(317) 574-1875
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01056697A
IN
207P00000X
Emergency Medicine Physician
036-112914
IL
207P00000X
Emergency Medicine Physician
19841
WV
207P00000X
Emergency Medicine Physician
20694
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200392970
—
IN
Enumeration date
07/14/2006
Last updated
03/25/2022
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