DR. Dustin James Tanner, D.C.
NPI #1790012201 in St Augustine, Florida
Provider Information
- NPI Number
- 1790012201
- Entity Type
- Individual
- Name
- DR. Dustin James Tanner, D.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Nov 5, 2009
- Last Updated
- May 29, 2012
Practice Location
- Address
- 2200 N PONCE DE LEON BLVD
- Address 2
- SUITE #1
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084-2600
- Phone
- (904) 819-9110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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