Individual
TANNER THOMAS MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1325 N LITCHFIELD RD STE 125, GOODYEAR, AZ 85395-1215
(480) 558-3744
(480) 558-3801
Mailing address
9701 BAY HILL DR, LONE TREE, CO 80124-3182
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
011138
AZ
207X00000X
Orthopaedic Surgery Physician
DO01240
RI
Other
Enumeration date
02/22/2018
Last updated
08/06/2024
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