Individual
DR. MICHAEL ALLAN TALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 BODIN CIR, 60 MDTS/SGQX, TRAVIS AFB, CA 94535-1809
(707) 423-7182
Mailing address
1000 ALLISON DR, APT. 210, VACAVILLE, CA 95687-4975
(707) 447-3011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K2808
TX
Other
Enumeration date
05/11/2006
Last updated
08/21/2007
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