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Edward Tagge, MD
Pediatric Surgery Physician in Loma Linda, California
NPI 1255446100

Edward Tagge is a Pediatric Surgery Physician based in Loma Linda, CA and is specialized in Pediatric Surgery. Edward Tagge practices in Loma Linda, CA and has the professional credentials of MD. The NPI Number for Edward Tagge is 1255446100 and holds a License No. 15516 (California).

The current practice location address for Edward Tagge is 11370 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-2282 and via fax at 909-558-2125.

Location: 11370 Anderson St, Loma Linda, CA, 92354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255446100
Provider Name
Edward Tagge
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11370 Anderson St, Loma Linda, CA, 92354
Phone Number
909-558-2282
Fax Number
909-558-2125
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
155165 05 SC
institution
Provider Business Practice Location Address Details
Address
11370 Anderson St
City
Loma Linda
State
California
Zip
92354-3450
Phone Number
909-558-2282
Fax Number
909-558-2125
person
Provider Business Mailing Address Details
Address
11370 Anderson St
City
Loma Linda
State
California
Zip
92354-3450
Phone Number
909-558-2282
Fax Number
909-558-2125
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
2086S0120X
License No.
15516 (South Carolina)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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