Individual
DR. PETER KH GO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1757 ARMY DR, SUITE 106, TAMUNING, GU 96913-1260
(671) 647-4533
(671) 647-1110
Mailing address
1757 ARMY DR, SUITE 106, TAMUNING, GU 96913-1260
(671) 647-4533
(671) 647-1110
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
M-1819
GU
174400000X
Specialist
M-1819
GU
208600000X
Surgery Physician
Primary
M1819
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004853500
—
FL
05
—
102107001
—
AR
Enumeration date
09/05/2006
Last updated
03/31/2016
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