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Individual

ANDREW SCOTT TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2222 N NEVADA AVE, SUITE CC-101, COLORADO SPRINGS, CO 80907-6819
(719) 776-5281
(719) 776-2525
Mailing address
PO BOX 800022, KANSAS CITY, MO 64180-0022
(800) 953-0104
(303) 765-6670

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
44693
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
67328032
CO
Enumeration date
06/29/2006
Last updated
02/02/2024
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