Susan Tan in Barstow - Specialist

Susan Tan - NPI 1558451112

Susan Tan is a Specialist in Barstow, California. Susan Tan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Susan Tan is 1558451112. The last update date is 2007-07-08.

Susan Tan's current location address is Po Box 626, Barstow, California. You can contact this provider via phone number 7602553900 and fax number 7602553980. The mailing address for Susan Tan is Po Box 626, Barstow, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Tan
Address Po Box 626, Barstow, California
Phone Number 7602553900
Fax Number 7602553980
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1558451112
Provider Enumeration Date 2006-10-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 626
City Barstow
State California (CA)
Post Code 923120626
Phone Number 7602553900
Fax Number 7602553980

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No A68769
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Susan Tan

What is the Susan Tan's unique identification number?

The Susan Tan has been assigned the NPI (National Provider Identifier) Number 1558451112 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Susan Tan's physical address?

The Susan Tan is physically located at Po Box 626, in the city of Barstow, CA, with the postal code 923120626.

What is Susan Tan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Susan Tan's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1558451112 to Susan Tan?

The Centers for Medicare & Medicaid Services assigned the 1558451112 to Susan Tan on 2006-10-13.

As of what date were the Susan Tan's details last updated?

The information pertaining to the Susan Tan, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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