Richard Tanner, D.O.

NPI #1477858116 in Copperhill, Tennessee

Provider Information

NPI Number: 1477858116
Entity Type: Individual
Name: Richard Tanner, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Jan 11, 2011
Last Updated: Jun 1, 2017

Practice Location

Address: 144 MEDICAL CENTER DR STE C
City: Copperhill
State: Tennessee
ZIP Code: 37317-5006
Phone: (423) 548-1520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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