Organization
JUSTIN TANNER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN TANNER MD (OFFICIAL)
(303) 906-4201
Entity
Organization
Contact information
Practice address
59724 MANCOS LN, MONTROSE, CO 81403-7375
(303) 906-4201
Mailing address
59724 MANCOS LN, MONTROSE, CO 81403-7375
(303) 906-4201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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