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Individual

CLINT STEVEN TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13780 E RICE PL STE 103, AURORA, CO 80015-1257
(720) 575-5400
Mailing address
13780 E RICE PL STE 103, AURORA, CO 80015-1257
(720) 575-5400
(720) 709-1161

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
#DR.0054779
CO
2084P0800X
Psychiatry Physician
MD-2013-0763
NM

Other

Enumeration date
04/18/2011
Last updated
08/03/2020
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