Individual
TANNER URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7449 E SUMMERSIDE PL, BEL AIRE, KS 67226-7678
(620) 655-7398
Mailing address
7449 E SUMMERSIDE PL, BEL AIRE, KS 67226-7678
(620) 655-7398
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/19/2018
Last updated
08/19/2018
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