Organization
SALLY Q TAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY Q. TAN M.D. (PRESIDENT)
(405) 319-1622
Entity
Organization
Contact information
Practice address
1110 N CLASSEN BLVD, SUITE 204, OKLAHOMA CITY, OK 73106-6843
(405) 319-1622
(405) 319-1575
Mailing address
1110 N CLASSEN BLVD, SUITE 204, OKLAHOMA CITY, OK 73106-6843
(405) 319-1622
(405) 319-1575
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
19992
OK
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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