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Individual
JOEL PETER MENDOZA TAN
Active
Individual
JOEL PETER MENDOZA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301092113
MI
207R00000X
Internal Medicine Physician
MD60053136
WA
208M00000X
Hospitalist Physician
Primary
MD60553136
WA
Other
Enumeration date
05/28/2008
Last updated
05/04/2021
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