Individual
DR. BO WU
Active
Individual
DR. BO WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD35405
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04479265
MS MEDICAID
MS
01
—
050084189
RR MEDICAR
—
01
—
173743001
ARKANSAS MEDICAID
AR
01
—
2000136
UNITED HEALTHCARE
TN
05
—
3867178
—
TN
01
—
4015934
BLUE CROSS
TN
Enumeration date
07/13/2006
Last updated
10/26/2016
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