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Individual

DR. JOSEPH SOONHOW TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36352
KS
2085R0202X
Diagnostic Radiology Physician
125-048361
IL
2085R0202X
Diagnostic Radiology Physician
25774
NE
2085R0202X
Diagnostic Radiology Physician
Primary
49147
CO
2085R0202X
Diagnostic Radiology Physician
MD17510
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0062767
OH
05
10025709000
NE
05
1588872303
IA
05
1588872303
IL
05
1588872303
MO
05
1588872303
SD
05
1588872303
UT
05
1588872303
WY
05
200503590 A
OK
05
619746
AZ
05
7617659
NC
05
77777875
CO
05
84059792913
NE
05
84089712600
NE
Enumeration date
05/18/2007
Last updated
03/31/2024
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