Organization
THOMAS TAN MD PC
Active
Other names
THOMAS U TAN MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS U TAN MD (OWNER)
(509) 735-9001
Entity
Organization
Contact information
Practice address
7103 W GRANDRIDGE BLVD, STE D, KENNEWICK, WA 99336-6713
(509) 735-9001
(509) 735-9277
Mailing address
7103 W GRANDRIDGE BLVD, STE D, KENNEWICK, WA 99336-6713
(509) 735-9001
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109073
—
WA
Enumeration date
08/29/2013
Last updated
09/25/2018
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