Individual
DR. CLAYTON ORA TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 455-0681
(816) 455-5294
Mailing address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 455-0681
(816) 455-5294
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013009628
MO
208M00000X
Hospitalist Physician
Primary
2013009628
MO
Other
Enumeration date
01/01/2012
Last updated
10/29/2019
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