Individual
BENJAMIN HUGH TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3119
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-3066
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2480
NE
Other
Enumeration date
02/10/2020
Last updated
07/17/2023
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