Individual
JAMES CHRISTOPHER TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 MEMORIAL DR STE 250, BELLEVILLE, IL 62226-5373
(618) 257-6220
Mailing address
4700 MEMORIAL DR STE 250, BELLEVILLE, IL 62226-5373
(618) 257-6220
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036151082
IL
Other
Enumeration date
06/22/2015
Last updated
02/02/2022
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