Individual
TANNER COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
407 NE 76TH TER, GLADSTONE, MO 64118-1708
(816) 436-7900
Mailing address
407 NE 76TH TER, GLADSTONE, MO 64118-1708
(816) 436-7900
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2020021236
MO
Other
Enumeration date
12/18/2018
Last updated
02/16/2022
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