Tadge Kanjo General Surgery LLC

NPI #1619237625 in Evanston, Wyoming

Provider Information

NPI Number
1619237625
Entity Type
Organization
Organization Name
Tadge Kanjo General Surgery LLC
Primary Specialty
Surgery
Enumeration Date
May 23, 2012
Last Updated
Apr 30, 2013

Practice Location

Address
196 ARROWHEAD DR
Address 2
SUITE 6
State
Wyoming
ZIP Code
82930-8752
Phone
(307) 783-8361

Authorized Official

Name
TADGE KANJO, MD
Title
SOLE MBR
Phone
(505) 246-6910

Specialties & Taxonomy Codes

Specialty
Surgery

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