Individual
DR. EUGENE MATTHEW TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101271098
VA
207R00000X
Internal Medicine Physician
58237
MN
207R00000X
Internal Medicine Physician
59810
AZ
207R00000X
Internal Medicine Physician
Primary
DR.0065425
CO
207RI0200X
Infectious Disease Physician
58237
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029254
KAISER COMMERCIAL NUMBER
CO
05
—
9000195031
—
CO
Enumeration date
05/21/2013
Last updated
01/10/2023
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