PHILIP BAO

FORT WAYNE, IN
NPI1881735207
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IN  01088954A)
Additional Taxonomies2086X0206X Surgery, Surgical Oncology
(Licence: FL  ME123284)
2086X0206X Surgery, Surgical Oncology
(Licence: FL  123284)
Enumeration Date2007-02-09
Last Update Date2023-03-23
Business Address
PHILIP BAO MD
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1739
Phone number: 833-274-8326
Mailing Address
PHILIP BAO MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: