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Individual
DR. NICHOLAS J TANNOUS
Active
Individual
DR. NICHOLAS J TANNOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2012005502
MO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
101263858
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
15477
NV
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
2012005502
MO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D0084655
MD
Other
Enumeration date
04/04/2008
Last updated
11/26/2018
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