DR. Antonio A. Tan, M.D.
NPI #1134277569 in Moreno Valley, California
Provider Information
- NPI Number
- 1134277569
- Entity Type
- Individual
- Name
- DR. Antonio A. Tan, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- M.D.
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 12980 FREDERICK ST
- Address 2
- SUITE D
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92553-5263
- Phone
- (951) 485-2744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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