Organization
JASON C TANI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON C TANI MD (MD)
(480) 635-1141
Entity
Organization
Contact information
Practice address
4540 E BASELINE RD, # 119, MESA, AZ 85206-4617
(480) 635-1141
(480) 635-1181
Mailing address
4540 E BASELINE RD, #119, MESA, AZ 85206-4617
(480) 635-1141
(480) 635-1181
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24700
AZ
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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