Individual
STEVEN TANKSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-4498
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 956-4498
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01045792A
IN
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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