Individual
DR. RICHARD ROBERT TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
401 N RANDOLPH ST, INDIANAPOLIS, IN 46201-3060
(317) 639-2671
(317) 639-3432
Mailing address
7318 BRAMBLEWOOD LN, INDIANAPOLIS, IN 46254-9713
(317) 293-6086
(317) 639-3432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01027880A
IN
Other
Enumeration date
10/21/2006
Last updated
09/06/2023
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