Individual
THOMAS B TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 MEDICAL PLZ STE 100, LAKE ST LOUIS, MO 63367-1493
(636) 639-8600
Mailing address
4724 N DAVIS HWY, PENSACOLA, FL 32503-2339
(850) 696-4000
(850) 434-2647
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
17614
AL
207RH0003X
Hematology & Oncology Physician
Primary
2020008924
MO
207RH0003X
Hematology & Oncology Physician
62467
FL
207RX0202X
Medical Oncology Physician
H2823
TX
207RX0202X
Medical Oncology Physician
MD221267
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109896
AL MEDICAID- FOLEY
AL
01
—
110883
AL MEDICAID- N DAVIS
AL
01
—
110905
AL MEDICAID- WEST FLORIDA OFFICE
AL
05
—
371163300
—
FL
Enumeration date
09/14/2005
Last updated
03/03/2025
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