Individual
JOHN TANGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2808 KERRY LN, OKLAHOMA CITY, OK 73120-2811
(405) 919-8689
Mailing address
2808 KERRY LN, OKLAHOMA CITY, OK 73120-2811
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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