Organization
DELTA ROMEO TANGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOKESH S TANTAUWAYA MD (PHYSICIAN / OWNER)
(858) 300-2626
Entity
Organization
Contact information
Practice address
2751 COMMERCIAL WAY, ROCK SPRINGS, WY 82901-4753
(858) 300-2626
(858) 408-9400
Mailing address
PO BOX 236105, ENCINITAS, CA 92023-6105
(858) 300-2626
(858) 408-9400
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
10014A
WY
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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