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Individual

DR. EUGENE MATTHEW TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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