Individual
BENNY KIEN HON TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2646 E. BANNER GATEWAY DRRIVE, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-4734
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 383-1015
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME94940
FL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
ME94940
FL
Other
Enumeration date
10/08/2008
Last updated
01/26/2021
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