Jason C Tani MD PC

NPI #1417110206 in Mesa, Arizona

Provider Information

NPI Number: 1417110206
Entity Type: Organization
Organization Name: Jason C Tani MD PC
Primary Specialty: Specialist
Enumeration Date: Jul 2, 2008
Last Updated: Jul 2, 2008

Practice Location

Address: 4540 E BASELINE RD
Address 2: # 119
City: Mesa
State: Arizona
ZIP Code: 85206-4617
Phone: (480) 635-1141

Authorized Official

Name: JASON C TANI, MD
Title: MD
Phone: (480) 635-1141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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