Individual
TOM XU TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 515-6296
Mailing address
1920 N 32ND ST APT 202, PHOENIX, AZ 85008-2981
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
81518
AZ
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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