Individual
MICKEY JUSTIN MYLES KUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BG 10 RM 13N268, 10 CENTER DR, BETHESDA, MD 20814
(301) 594-7487
Mailing address
BG 10 RM 13N268, 10 CENTER DR, BETHESDA, MD 20814
(301) 594-7487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125067676
IL
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
D0087738
MD
Other
Enumeration date
04/09/2015
Last updated
08/05/2019
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