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Organization

TAN AND TAN MEDICAL GROUP PROF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHILINE JOEY TAN-BIRKET FNP-C (PRESIDENT)
(725) 236-5674
Entity
Organization

Contact information

Practice address
6549 DITMARS ST, LAS VEGAS, NV 89166-8026
(725) 236-5674
Mailing address
6549 DITMARS ST, LAS VEGAS, NV 89166-8026
(725) 236-5674

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/19/2026
Last updated
03/19/2026
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