Individual
DR. SUSAN GUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1003 S 5TH ST, TACOMA, WA 98405-4210
(253) 403-4994
(253) 403-4991
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
(253) 459-8009
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
MD2013-0600
NM
2085R0001X
Radiation Oncology Physician
Primary
MD61336649
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18174540
—
NM
Enumeration date
05/01/2008
Last updated
02/01/2023
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