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Individual

RON TINTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
61 THUNDERCLOUD RD, SANTA FE, NM 87506-0121
(615) 345-5400
(888) 468-6603
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5005
(615) 345-5400
(888) 468-6603

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
78695
GA
2084N0400X
Neurology Physician
F8343
TX
2084N0400X
Neurology Physician
MD2019-0729
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102070305
TX
01
8S5370
BLUE CROSS BLUE SHIELD
TX
01
ME133158
FL STATE LICENSE
FL
Enumeration date
06/25/2006
Last updated
02/21/2024
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