Individual
JOEL PETER MENDOZA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9411
(360) 307-7300
Mailing address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9411
(360) 307-7300
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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