Individual
MR. NICHOLAS J TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
322 W NORTH RIVER DR, SPOKANE, WA 99201-3208
(509) 324-6464
Mailing address
322 W NORTH RIVER DR, SPOKANE, WA 99201-3208
(509) 324-6464
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 00000333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117357
—
WA
Enumeration date
12/12/2006
Last updated
05/04/2021
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