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Individual

TZE-WOEI TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-6670
(520) 626-4008
Mailing address
1501 N CAMPBELL AVE RM 4402, PO BOX 245072, TUCSON, AZ 85724-0001
(520) 626-6670
(520) 626-4008

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
205219
LA
2086S0129X
Vascular Surgery Physician
205219
LA
2086S0129X
Vascular Surgery Physician
Primary
52469
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2194356
LA
01
4Q988F600
MEDICARE - PTAN
LA
Enumeration date
04/24/2007
Last updated
12/28/2016
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