Individual
DR. MARTIN QUAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
107 WOODLAWN DR, JOHNSON CITY, TN 37604-5978
(423) 929-7158
(423) 928-9625
Mailing address
107 WOODLAWN DR, JOHNSON CITY, TN 37604-5978
(423) 929-7158
(423) 928-9625
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
DO1528
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3307966
—
TN
Enumeration date
06/08/2005
Last updated
01/19/2010
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