Individual
DOUGLAS RAY TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1803 W MAXWELL AVE, SPOKANE, WA 99201
(509) 483-7535
Mailing address
1803 W MAXWELL AVE, SPOKANE, WA 99201-2831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60716748
WA
Other
Enumeration date
04/27/2015
Last updated
12/10/2018
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