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Individual

DR. REBECCA WEBB TANNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4582 FRANKLIN RD SW, ROANOKE, VA 24014-5144
(540) 772-8052
(540) 772-4508
Mailing address
4582 FRANKLIN RD SW, ROANOKE, VA 24014-5144
(540) 772-8052
(540) 772-4508

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
0101047618
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6801510
VA
Enumeration date
09/20/2006
Last updated
07/09/2007
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