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DR. TANNER ROSS ISAACSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4400 BROADWAY BLVD, KANSAS CITY, MO 64111-3498
(816) 561-8100
Mailing address
4400 BROADWAY BLVD, KANSAS CITY, MO 64111-3498

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04-45128
KS
208000000X
Pediatrics Physician
2018019012
MO
208000000X
Pediatrics Physician
Primary
2021029502
MO

Other

Enumeration date
04/06/2018
Last updated
09/14/2021
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