Individual
TANNER CALVIN HARRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1334 W COVINA BLVD STE 105, SAN DIMAS, CA 91773-3211
(909) 599-0881
Mailing address
1334 W COVINA BLVD STE 105, SAN DIMAS, CA 91773-3211
(909) 599-0881
(909) 394-0701
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
20A15819
CA
Other
Enumeration date
04/11/2016
Last updated
05/20/2024
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