Individual
DR. ARLO MODALES TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 BODIN CIR, 60MDG/SGOC, TRAVIS AFB, CA 94535-1809
(707) 423-5325
Mailing address
101 BODIN CIR, 60 MDG/SGOC, TRAVIS AFB, CA 94535-1809
(707) 423-5325
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A85827
CA
Other
Enumeration date
04/14/2006
Last updated
01/03/2025
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