Individual
PHILLIP G TALLENT
Active
Individual
PHILLIP G TALLENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
102492
MN
2084N0400X
Neurology Physician
Primary
42309
TN
2084N0400X
Neurology Physician
49063
MN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
057255
GA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
42309
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036992000
—
MN
05
—
3000643
—
TN
Enumeration date
07/16/2006
Last updated
03/15/2019
Update your record
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