Individual
JOHN L TAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2001
Mailing address
401 W 2ND ST, SUITE 216, RENO, NV 89503-5345
(775) 682-8469
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16933
NV
Other
Enumeration date
03/19/2013
Last updated
08/20/2019
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