Most Relevant Information
Provider Data
| NPI Number: | 1003350935 |
| Provider Name: | ALEXANDER KERWAY TAN L.AC. |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 1054 |
Most Important Dates
| Enumeration Date: | 12/12/2016 |
| Last Updated: | 02/04/2020 |
Provider Practice Location
1515 N MAIN ST STE C
FLAGSTAFF
AZ
860044923
Practice Location Phone/Fax
| Phone: | 8883366991 |
| Fax: |
Provider Mailing Location
1601 E ARROWHEAD AVE
FLAGSTAFF
AZ
860045101
Provider Mailing Phone/Fax
| Phone: | 8883366991 |
| Fax: |