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Organization

MEDICAL GROUP LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUIS TAN M.D. (DR.)
(602) 956-9838
Entity
Organization

Contact information

Practice address
3125 N 32ND ST, SUITE 110, PHOENIX, AZ 85018-6281
(602) 956-9838
Mailing address
3125 N 32ND ST, SUITE 110, PHOENIX, AZ 85018-6281
(602) 956-9838

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3848
AZ

Other

Enumeration date
07/25/2008
Last updated
07/25/2008
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