Tom Xu Tan M.D.

NPI 1922285188 - Internal Medicine - 207R00000X

NPI Details
NPI 1922285188
Gender Male
Enumeration Date 01/29/2008
Last Updated 01/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
5777 E MAYO BLVD
PHOENIX AZ, 85054-4502, US
Phone (480) 515-6296
Fax
Business Location
1920 N 32ND ST APT 202
PHOENIX AZ, 85008-2981, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Arizona
License Number 81518
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According to our database, Tom Xu Tan M.D. NPI is 1922285188, taxonomy code is 207R00000X and license number is 81518, license state is located at Arizona. Tom Xu Tan M.D. physically located at 5777 E Mayo Blvd, Phoenix AZ, 85054-4502. NPI Number Tom Xu Tan M.D. has the Individual type.

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1922285188 NPI number is provided on an as is basis without warranty of any kind. 1922285188 is maintained by the National Plan & Provider Enumeration System. The contents of Tom Xu Tan M.D. are for informational purposes only.