Gabriel Kodzo Tanson M.D.,

NPI 1023053105 - Family Medicine - 207Q00000X

NPI Details
NPI 1023053105
Gender Male
Enumeration Date 06/20/2006
Last Updated 07/02/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
4873 WEST LN
STOCKTON CA, 95210-4548, US
Phone (209) 472-1515
Fax (209) 472-1651
Business Location
4873 WEST LN
SUITE A
STOCKTON CA, 95210-4548, US
Phone (209) 472-1515
Fax (209) 472-1651
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A32550
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According to our database, Dr. Gabriel Kodzo Tanson M.D., NPI is 1023053105, taxonomy code is 207Q00000X and license number is A32550, license state is located at California. Gabriel Kodzo Tanson M.D., physically located at 4873 West Ln, Stockton CA, 95210-4548. NPI Number Gabriel Kodzo Tanson M.D., has the Individual type.

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1023053105 NPI number is provided on an as is basis without warranty of any kind. 1023053105 is maintained by the National Plan & Provider Enumeration System. The contents of Gabriel Kodzo Tanson M.D., are for informational purposes only.