Provider Demographics
NPI:1164513701
Name:NGO, HILTON (MD)
Entity Type:Individual
Prefix:
First Name:HILTON
Middle Name:
Last Name:NGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1501 UNION AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOBERLY
Mailing Address - State:MO
Mailing Address - Zip Code:65270-9469
Mailing Address - Country:US
Mailing Address - Phone:660-269-9095
Mailing Address - Fax:660-269-0054
Practice Address - Street 1:1501 UNION AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MOBERLY
Practice Address - State:MO
Practice Address - Zip Code:65270-9469
Practice Address - Country:US
Practice Address - Phone:660-269-9095
Practice Address - Fax:660-269-0054
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2002023142208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics