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Individual

DR. ALLEN HERSHEL TANNER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
(919) 620-4921
Mailing address
2222N NEVADA AVE 5017, COLORADO SPRINGS, CO 80907-6865
(719) 635-2501
(719) 632-1062

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
2014-00785
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/15/2012
Last updated
03/02/2018
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