Individual
GREGORY W TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5899 BREMO RD STE 100, RICHMOND, VA 23226-1935
(804) 288-8512
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 968-1803
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101264607
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018369300
—
FL
01
—
B6960
BCBS
FL
Enumeration date
10/18/2011
Last updated
06/24/2025
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