Individual
MR. ALEXANDER KERWAY TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1515 N MAIN ST STE C, FLAGSTAFF, AZ 86004-4923
(888) 336-6991
Mailing address
1601 E ARROWHEAD AVE, FLAGSTAFF, AZ 86004-5101
(888) 336-6991
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1054
AZ
Other
Enumeration date
12/12/2016
Last updated
02/04/2020
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