Individual
DR. BECKY LYNN TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
1721 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3809
(719) 964-4732
(719) 634-6469
Mailing address
1721 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3809
(719) 964-4732
(719) 634-6469
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
05-880
AZ
Other
Enumeration date
04/18/2007
Last updated
10/17/2008
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