Individual
DR. JUAN TAN ARISTORENAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 WEST MAIN STREET, ADAMSVILLE, TN 38310-0311
(731) 632-3373
(731) 632-9335
Mailing address
135 W MAIN ST., ADAMSVILLE, TN 38310-0311
(731) 632-3373
(731) 632-9335
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00008527
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3158065
—
TN
Enumeration date
10/23/2006
Last updated
07/08/2007
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