Organization
MICHAEL TANNER, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFF BROWN (ADMINISTRATOR)
(702) 686-3762
Entity
Organization
Contact information
Practice address
10655 PARK RUN DR STE 210, LAS VEGAS, NV 89144-4590
(702) 686-3762
(913) 871-9266
Mailing address
10655 PARK RUN DR STE 210, LAS VEGAS, NV 89144-4590
(702) 686-3762
(913) 871-9266
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
10/27/2016
Last updated
04/03/2025
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