Organization
TADGE KANJO GENERAL SURGERY LLC
Active
Other names
Atomic City Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
TADGE KANJO MD (SOLE MBR)
(505) 246-6910
Entity
Organization
Contact information
Practice address
196 ARROWHEAD DR, SUITE 6, EVANSTON, WY 82930-8752
(307) 783-8361
(307) 783-8399
Mailing address
196 ARROWHEAD DR, SUITE 6, EVANSTON, WY 82930-8752
(307) 783-8361
(307) 783-8399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2012-0060
NM
Other
Enumeration date
05/23/2012
Last updated
04/30/2013
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