Individual
VICTORIA TANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD-46835
IA
2084P0800X
Psychiatry Physician
Primary
MD-46835
IA
Other
Enumeration date
06/05/2015
Last updated
07/30/2020
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