Individual
DR. JAMES ARDEN TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12921 CANTRELL RD, SUITE 300, LITTLE ROCK, AR 72223-1701
(501) 907-6699
(501) 224-6481
Mailing address
9500 KANIS RD, SUITE 200, LITTLE ROCK, AR 72205-6324
(501) 224-6699
(501) 224-6481
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
C-5307
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104935001
—
AR
01
—
114830000-01
QUALCHOICE
AR
01
—
160006522
RAILROAD MEDICARE
AR
01
—
4203408
AETNA
AR
01
—
55208
BCBS
AR
01
—
710619986
CIGNA
AR
01
—
7282
UNITED HEALTHCARE
AR
Enumeration date
06/13/2006
Last updated
05/19/2008
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