Individual
MR. ALFONSO A TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6242 E ARBOR AVE # 111-113, MESA, AZ 85206-1309
(480) 536-6863
(480) 718-1301
Mailing address
6242 E ARBOR AVE # 111-113, MESA, AZ 85206-1309
(480) 536-6863
(480) 718-1301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22583
AZ
Other
Enumeration date
09/28/2006
Last updated
06/17/2021
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