Individual
MR. JAMES TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
341 MDG 7300 NORTH PERIMETER ROAD, MALMSTROM AFB, MT 59402-6780
(406) 731-4456
Mailing address
341 MDG 7300 NORTH PERIMETER ROAD, MALMSTROM AFB, MT 59402-6780
(406) 731-4456
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1316
ID
Other
Enumeration date
08/22/2005
Last updated
07/17/2012
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