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Individual
TANNER DUANE MATHIAS
Active
Individual
TANNER DUANE MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042.0014423
VT
207Q00000X
Family Medicine Physician
DR.0059517
CO
207Q00000X
Family Medicine Physician
TL.0006164
CO
208M00000X
Hospitalist Physician
Primary
042.0014423
VT
208M00000X
Hospitalist Physician
DR.0059517
CO
Other
Enumeration date
03/22/2016
Last updated
01/09/2023
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