Justin Tanner MD LLC

NPI #1205259777 in Montrose, Colorado

Provider Information

NPI Number
1205259777
Entity Type
Organization
Organization Name
Justin Tanner MD LLC
Primary Specialty
Internal Medicine
Enumeration Date
Feb 3, 2014
Last Updated
Feb 3, 2014

Practice Location

Address
59724 MANCOS LN
ZIP Code
81403-7375
Phone
(303) 906-4201

Authorized Official

Name
DR. JUSTIN TANNER, MD
Title
OFFICIAL
Phone
(303) 906-4201

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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