Individual
DR. STEPHEN MICHAEL TANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1470 MEDICAL PARKWAY, SUITE 160, CARSON CITY, NV 89703-4636
(775) 445-7650
(775) 882-4206
Mailing address
PO BOX 4390, CARSON CITY, NV 89702-4390
(775) 445-7650
(775) 882-4206
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11880
NV
207RI0011X
Interventional Cardiology Physician
11880
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510311
—
NV
01
—
CC4954
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/20/2006
Last updated
09/18/2014
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