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Individual

DAVID ERIC TANNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5387 MANHATTAN CIR, SUITE 201, BOULDER, CO 80303-4284
(303) 494-2705
(303) 494-2706
Mailing address
5387 MANHATTAN CIR, SUITE 201, BOULDER, CO 80303-4284
(303) 494-2705
(303) 494-2706

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
38635
CO

Other

Enumeration date
07/23/2006
Last updated
12/06/2007
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