Barry Tanner

NPI #1134611783 in Colorado Springs, Colorado

Provider Information

NPI Number: 1134611783
Entity Type: Individual
Name: Barry Tanner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: May 30, 2018
Last Updated: May 30, 2018

Practice Location

Address: 3710 REBECCA LN APT B307
City: Colorado Springs
State: Colorado
ZIP Code: 80917-5034
Phone: (719) 499-0467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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