Individual
JERRY ROSS TANNER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2841 DEBARR RD STE 43, ANCHORAGE, AK 99508-2967
(907) 274-7847
(907) 274-7845
Mailing address
2841 DEBARR RD STE 43, ANCHORAGE, AK 99508-2967
(907) 274-7847
(907) 274-7845
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5561
AK
Other
Enumeration date
11/01/2006
Last updated
11/26/2012
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