Vivian L Tan, M.D.

NPI #1013951425 in Modesto, California

Provider Information

NPI Number: 1013951425
Entity Type: Individual
Name: Vivian L Tan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: Jun 15, 2006
Last Updated: Feb 9, 2011

Practice Location

Address: 600 COFFEE RD
City: Modesto
State: California
ZIP Code: 95355-4201
Phone: (209) 524-1211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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