Organization
DR. JAMES D. TANNER, D.C., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D. TANNER D.C. (CHIROPRACTOR)
(208) 552-4646
Entity
Organization
Contact information
Practice address
6070 E SAGEWOOD DR, IDAHO FALLS, ID 83406-5077
(208) 552-4646
Mailing address
6070 E SAGEWOOD DR, IDAHO FALLS, ID 83406-5077
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
CHIA-1260
ID
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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