Individual
TANNER N TOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2350 MEADOWS BLVD, CASTLE ROCK, CO 80109-8405
(720) 455-0655
(720) 455-0065
Mailing address
PO BOX 17503, DENVER, CO 80217-0503
(719) 687-9999
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51753
CO
208M00000X
Hospitalist Physician
DR.0051753
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65832221
—
CO
Enumeration date
07/06/2009
Last updated
05/16/2025
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