Individual
MARK TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8420 S EASTERN AVE STE 101, LAS VEGAS, NV 89123-2875
(702) 483-3554
(725) 267-1020
Mailing address
8880 W SUNSET RD STE 320, LAS VEGAS, NV 89148-5007
(725) 200-3232
(725) 220-6389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24541
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2021
Last updated
10/23/2024
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