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Individual
TANNER JAMES SIMONSON
Active
Individual
TANNER JAMES SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD-56475
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R-12533
IA
Other
Enumeration date
05/25/2022
Last updated
07/15/2026
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