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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GRETA TAN GO, MD

Active

DR. GRETA TAN GO, MD is a Pediatric Radiology healthcare provider located in LYNNWOOD, Washington. NPI 1578540480 is currently active in the NPPES registry. Verify at CMS.

Pediatric Radiology · LYNNWOOD, WA

Registration Details

NPI Number
1578540480
Provider Type
Individual
Gender
Female
NPI Issued
Dec 30, 2005 (20.641771523669 yrs)
Last Updated
Jul 29, 2019
Licenses
M-12399 (ID)
MD00038515 (WA)
M-12399 (ID)
MD00038515 (WA)

Practice Information

Address
19020 33RD AVE W STE 210
LYNNWOOD, WA, 980364748
Browse WA providers · Browse ZIP 98036
Phone
4255631500
Fax
4255631501
Primary Specialty
Pediatric Radiology
2085P0229X
Additional Specialty
Diagnostic Radiology
Additional Specialty
Diagnostic Radiology
Additional Specialty
Pediatric Radiology

Other Pediatric Radiology Providers in LYNNWOOD, WA

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.