Individual
JUSTIN J TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3330 S RIO GRANDE AVE, MONTROSE, CO 81401-4847
(970) 249-7751
(970) 249-5029
Mailing address
2303 S TOWNSEND AVE STE A, MONTROSE, CO 81401-5452
(970) 249-7751
(970) 249-5029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2350
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48484
STATE LICENSE
CO
Enumeration date
06/22/2007
Last updated
11/25/2024
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