Dwight Christian Tan, PA-C
NPI #1255052676 in Longview, Washington
Provider Information
- NPI Number
- 1255052676
- Entity Type
- Individual
- Name
- Dwight Christian Tan, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 5, 2022
- Last Updated
- Oct 11, 2022
Practice Location
- Address
- 1615 DELAWARE ST
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2367
- Phone
- (360) 414-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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