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Individual

JIAN LIANG TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1235 E CHEROKEE ST STE 2C, SPRINGFIELD, MO 65804-2203
(417) 820-3911
Mailing address
1235 E CHEROKEE ST STE 2C, SPRINGFIELD, MO 65804-2203
(417) 820-3911

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2024017759
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2024017759
MO

Other

Enumeration date
06/23/2016
Last updated
09/11/2024
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