Individual
BENJAMIN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
50 IVY ST, SAN FRANCISCO, CA 94102-4506
(415) 355-7467
Mailing address
101 GROVE ST, SAN FRANCISCO, CA 94102-4505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22840
CA
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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