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Susan Tan, MD
Specialist in Barstow, California
NPI 1558451112

Susan Tan is a Specialist based in Barstow, CA. Susan Tan practices in Barstow, CA and has the professional credentials of MD. The NPI Number for Susan Tan is 1558451112 and holds a License No. A68769 (California).

The current practice location address for Susan Tan is 309 E Mountain View St, Barstow, CA and can be reached out via phone at 760-255-3900 and via fax at 760-255-3980.

Location: 309 E Mountain View St, Barstow, CA, 92312-0626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558451112
Provider Name
Susan Tan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
309 E Mountain View St, Barstow, CA, 92312-0626
Phone Number
760-255-3900
Fax Number
760-255-3980
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
309 E Mountain View St
City
Barstow
State
California
Zip
92311-2814
Phone Number
760-255-3900
Fax Number
760-255-3980
person
Provider Business Mailing Address Details
Address
309 E Mountain View St
City
Barstow
State
California
Zip
92311-2814
Phone Number
760-255-3900
Fax Number
760-255-3980
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A68769 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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