Individual
OLIVER O TANNOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 DICKINSON ST, SUITE 121, MC 8894, SAN DIEGO, CA 92103-1913
(858) 248-6456
Mailing address
350 DICKINSON STREET, SUITE 121, SAN DIEGO, CA 92103
(858) 248-6456
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A134817
CA
207XX0801X
Orthopaedic Trauma Physician
A134817
CA
Other
Enumeration date
05/11/2010
Last updated
12/11/2015
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