Maverick Tan
Physician Assistant · Fullerton, CA
UnclaimedNPI 1922785492
- Primary taxonomy
- 363A00000X
- Enumerated
- 2023-06-28
- Practice location
- Fullerton, CA
- Last NPPES update
- 2023-06-28
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.