Garth B Tanner, MD

NPI #1184612624 in Modesto, California

Provider Information

NPI Number: 1184612624
Entity Type: Individual
Name: Garth B Tanner, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Oct 10, 2005
Last Updated: Jul 12, 2012

Practice Location

Address: 1429 COLLEGE AVE
Address 2: STE K
City: Modesto
State: California
ZIP Code: 95350-4057
Phone: (209) 521-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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