Alice Tanner M.d.,pc
NPI #1013184159 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1013184159
- Entity Type
- Organization
- Organization Name
- Alice Tanner M.d.,pc
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- May 8, 2008
- Last Updated
- May 8, 2008
Practice Location
- Address
- 1406 CRAIN HWY S
- Address 2
- SUITE 104
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-4058
- Phone
- (410) 768-2231
Authorized Official
- Name
- DR. ALICE PATRICIA TANNER, M.D.
- Title
- PEDIATRICIAN/PRACTICE OWNER
- Phone
- (410) 768-2231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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