Individual
JEREMY A TANNER
Active
Individual
JEREMY A TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
U0860
TX
2084N0400X
Neurology Physician
A153399
CA
2084N0400X
Neurology Physician
U0860
TX
Other
Enumeration date
02/08/2013
Last updated
03/26/2024
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