Individual
DR. GARY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 ROSS PARK BLVD STE G-3, STEUBENVILLE, OH 43952-2681
(740) 266-5969
(740) 266-5970
Mailing address
380 SUMMIT AVE., MSO PHYSICIAN BILLING, STEUBENVILLE, OH 43952-2667
(740) 283-7597
(740) 283-7460
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
12699
OH
208800000X
Urology Physician
25MB09553900
NJ
208800000X
Urology Physician
303775
LA
208800000X
Urology Physician
3182
WV
208800000X
Urology Physician
Primary
34.012699
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244510
—
OH
Enumeration date
05/04/2011
Last updated
04/03/2020
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