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Individual

DAVID P. TAHOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(855) 999-6241
Mailing address
17360 BROOKHURST ST, C/O MCMF - CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708-3720

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A112390
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/11/2008
Last updated
09/15/2014
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