Dr Raymundo T Tan, MD | |
419 5th St Ne, Jamestown, ND 58401-3300 | |
(701) 252-1050 | |
(701) 952-3265 |
Full Name | Dr Raymundo T Tan |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 419 5th St Ne, Jamestown, North Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700869229 | NPI | - | NPPES |
18514 | Medicaid | ND | |
01008891 | Other | PREFERRED ONE | |
16-11656 | Other | MEDICA | |
7207820 | Medicaid | SD | |
47607 | Other | HEALTHPARTNERS | |
13243 | Other | ND | BLUE SHIELD |
46031641458401C003 | Other | TRICARE | |
719609 | Other | AMERICA'S PPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4669 (North Dakota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Raymundo T Tan, MD 419 5th St Ne, Jamestown, ND 58401-3300 Ph: (701) 252-1050 | Dr Raymundo T Tan, MD 419 5th St Ne, Jamestown, ND 58401-3300 Ph: (701) 252-1050 |
Gary L Wade, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2422 20th St Sw, Jamestown, ND 58401 Phone: 701-952-4854 |