DR. Manuel Pavia Tan, M.D.

NPI #1396939096 in Las Cruces, New Mexico

Provider Information

NPI Number: 1396939096
Entity Type: Individual
Name: DR. Manuel Pavia Tan, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Sep 5, 2007
Last Updated: May 7, 2008

Practice Location

Address: 4351 E LOHMAN AVE
Address 2: STE 301
City: Las Cruces
State: New Mexico
ZIP Code: 88011-8259
Phone: (575) 532-8900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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