Individual
MR. CLINT CHRISTIAN TAN GARBANZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 RESERVOIR RD NW, DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE, WASHINGTON, DC 20007
(202) 687-3614
(202) 687-8935
Mailing address
3800 RESERVOIR RD NW, DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE, WASHINGTON, DC 20007
(202) 687-3614
(202) 687-8935
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MTL600001560
DC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/17/2022
Last updated
09/15/2022
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