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Organization
DR. JAMES D. TANNER, D.C., P.A.
Active
Organization
DR. JAMES D. TANNER, D.C., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D. TANNER D.C. (CHIROPRACTOR)
(208) 552-4646
Entity
Organization
Contact information
Practice address
6070 E SAGEWOOD DR, IDAHO FALLS, ID 83406-5077
(208) 552-4646
Mailing address
6070 E SAGEWOOD DR, IDAHO FALLS, ID 83406-5077
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
CHIA-1260
ID
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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